Abdominal tuberculosis. A 10-year review

S Afr Med J. 1983 Nov 19;64(22):849-57.

Abstract

Clinical experience with 125 patients with abdominal tuberculosis (46 of whom had intestinal tuberculosis, 8 mesenteric tuberculous lymphadenitis and 71 the peritoneal form) is presented. The diagnosis, especially in the intestinal cases, was seldom considered and a wide variety of conditions was simulated. Ileocaecal tuberculosis accounted for only 11 (24%) of the intestinal cases, while 17 patients (37%) had more distal involvement. A number of patients with diffuse colonic tuberculosis were seen. Chest radiographs showed that 51% of the 125 patients had active tuberculosis, but were completely normal in 38% of cases. Tuberculin skin testing was negative in 45% of cases. The pathogenesis, pathological features, diagnostic difficulties and complications are discussed, and the importance of considering the diagnosis is stressed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Colonic Diseases / diagnosis
  • Duodenal Diseases / diagnosis
  • Esophageal Diseases / diagnosis
  • Female
  • Humans
  • Ileal Diseases / diagnosis
  • Intestine, Small
  • Male
  • Mesenteric Lymphadenitis / complications*
  • Middle Aged
  • Peritonitis, Tuberculous / diagnosis*
  • Rectal Diseases / diagnosis
  • South Africa
  • Stomach Diseases / diagnosis
  • Tuberculosis / complications
  • Tuberculosis, Gastrointestinal / diagnosis*
  • Tuberculosis, Gastrointestinal / epidemiology