Unusual presentations of abdominal tuberculosis.
OBJECTIVE
To review unusual presenting features and diagnostic difficulties of abdominal tuberculosis in an endemic region.


METHODS
Retrospective clinical study from 1984 to 1989, illustrated by case reports.


METHODS
A single hospital in Kuwait.


METHODS
Fifty patients with abdominal tuberculosis established by the standard histologic and bacteriologic demonstration of acid-fast bacilli or tuberculous granulomas.


METHODS
Site of disease and unusual features at presentation.


RESULTS
Tubercular lesions are most commonly seen in the ileocecal region. They are also common in the ileum but are less common in the appendix and jejunum. Involvement of the ascending colon, rectum and upper gastrointestinal tract is rare. Abdominal tuberculosis presents in many ways depending on the degrees of ulceration, fibrous healing, infection and caseating abscess formation.


CONCLUSIONS
Abdominal tuberculosis should be considered in immigrants from regions where this disease is endemic who present with abdominal signs and symptoms. Imaging studies, endoscopy and laparoscopy may preclude laparotomy for the diagnosis of abdominal tuberculosis. Antituberculosis chemotherapy is the mainstay of treatment.
Walia
H S
HS
Department of Surgery, Al-Amiri Hospital, Kuwait.
Khafagy
A R
AR
al-Sayer
H M
HM
Walia
H K
HK
al-Nakib
B
B
Sivanandan
R
R
D000005:Abdomen; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D014376:Tuberculosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D014386:Tuberculosis, Hepatic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy