Abdominal Tuberculosis in Yemen
Background: tuberculosis is an endemic disease in Yemen. Abdominal Tuberculosis (AT) is the most common extra pulmonary manifestation of the disease.The clinical picture can be non specific.Laparoscopy is the most accurate diagnostic method but has its limitation depending on presentation. The aim o...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2008-04-01
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| Series: | مجلة كلية الطب |
| Subjects: | |
| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1294 |
| _version_ | 1827392695806459904 |
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| author | Salem A.H. AL-SARRAF |
| author_facet | Salem A.H. AL-SARRAF |
| author_sort | Salem A.H. AL-SARRAF |
| collection | DOAJ |
| description | Background:
tuberculosis is an endemic disease in Yemen. Abdominal Tuberculosis (AT) is the most common extra pulmonary manifestation of the disease.The clinical picture
can be non specific.Laparoscopy is the most accurate diagnostic method but has its limitation depending on presentation.
The aim of this study was to present the common clinical manifestation and the different type of Abdominal TB,the surgical procedure used,the morbidity and
mortality of the disease.
Patient and Methods:
This is a prospective study of 48 patients with Abdominal TB who were admitted to Kuwait University hospital in Sana'a-Yemen between Jan 2002-Dec
2004.fourteen patients (29%) were treated medically with Anti TB drugs.Thirty four patients (71%) required surgical Intervention for diagnosis and treatment.
Results :
Thirty two patients (67%) were female ,16 patients ( 33%) were male with a ratio of 2:1 .Fifty percent of patients were in age group 20-40.The most common
symptom was Anorexia (94%) abdominal pain (92%) fever (90%).The most common signs were Abdominal mass ,ascitis and abdominal tenderness.Smeares
and culture of ascitis fluid were negative for A.F.B. Out of the 34 patients who required surgical treatment ;17 patients (50%) had Tuberculous peritonitis,32% had tuberculosis of intestine, and 17%had tubeculous mesenteric lymphadenitis.Complication rate was 50%,and mortality was 9%.
Conclusions:
Diagnosis of Abdominal TB should be suspected in patients of abdominal pain with vague clinical presentation coming from endemic areas.not all patients present
with ascitis and whene ascitis is present smears and culture are usually negative for A.F.B. Laparoscopy has its limitation Surgery should be avoided unless complication
occur and should be conservative.Tube drains can be used with no fear of TB Sinus. |
| first_indexed | 2024-03-08T17:37:08Z |
| format | Article |
| id | doaj.art-9512cdd77b4f4b8d8105d2ae91f1c9e2 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:37:08Z |
| publishDate | 2008-04-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-9512cdd77b4f4b8d8105d2ae91f1c9e22024-01-02T11:47:34ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572008-04-01501Abdominal Tuberculosis in YemenSalem A.H. AL-SARRAF0Dept of Surgery, Baghdad Teaching Hospital.Background: tuberculosis is an endemic disease in Yemen. Abdominal Tuberculosis (AT) is the most common extra pulmonary manifestation of the disease.The clinical picture can be non specific.Laparoscopy is the most accurate diagnostic method but has its limitation depending on presentation. The aim of this study was to present the common clinical manifestation and the different type of Abdominal TB,the surgical procedure used,the morbidity and mortality of the disease. Patient and Methods: This is a prospective study of 48 patients with Abdominal TB who were admitted to Kuwait University hospital in Sana'a-Yemen between Jan 2002-Dec 2004.fourteen patients (29%) were treated medically with Anti TB drugs.Thirty four patients (71%) required surgical Intervention for diagnosis and treatment. Results : Thirty two patients (67%) were female ,16 patients ( 33%) were male with a ratio of 2:1 .Fifty percent of patients were in age group 20-40.The most common symptom was Anorexia (94%) abdominal pain (92%) fever (90%).The most common signs were Abdominal mass ,ascitis and abdominal tenderness.Smeares and culture of ascitis fluid were negative for A.F.B. Out of the 34 patients who required surgical treatment ;17 patients (50%) had Tuberculous peritonitis,32% had tuberculosis of intestine, and 17%had tubeculous mesenteric lymphadenitis.Complication rate was 50%,and mortality was 9%. Conclusions: Diagnosis of Abdominal TB should be suspected in patients of abdominal pain with vague clinical presentation coming from endemic areas.not all patients present with ascitis and whene ascitis is present smears and culture are usually negative for A.F.B. Laparoscopy has its limitation Surgery should be avoided unless complication occur and should be conservative.Tube drains can be used with no fear of TB Sinus.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1294Abdominal Tuberculosis-pathological type – conservative surgery. |
| spellingShingle | Salem A.H. AL-SARRAF Abdominal Tuberculosis in Yemen مجلة كلية الطب Abdominal Tuberculosis-pathological type – conservative surgery. |
| title | Abdominal Tuberculosis in Yemen |
| title_full | Abdominal Tuberculosis in Yemen |
| title_fullStr | Abdominal Tuberculosis in Yemen |
| title_full_unstemmed | Abdominal Tuberculosis in Yemen |
| title_short | Abdominal Tuberculosis in Yemen |
| title_sort | abdominal tuberculosis in yemen |
| topic | Abdominal Tuberculosis-pathological type – conservative surgery. |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1294 |
| work_keys_str_mv | AT salemahalsarraf abdominaltuberculosisinyemen |