Tubercular appendicitis – a case report

Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.
World Journal of Emergency Surgery (Impact Factor: 1.47). 02/2006; 1:22. DOI: 10.1186/1749-7922-1-22
Source: PubMed


Tuberculosis of the appendix remains a rarity despite the frequency of intestinal tuberculosis. We report a case of acute appendicitis that underwent appendectomy at our hospital, and the histopathology of the specimen revealed tuberculosis.

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Available from: Robin Kaushik, Oct 28, 2014
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    ABSTRACT: PurposeThis paper provides an overview of the literature on appendicular tuberculosis (ATB) between 1909 and 2010. MethodsWe present two cases of primary ATB and a literature review of studies on ATB published in English and accessed via the Pubmed and Google Scholar databases. ResultsOne hundred fifty-five published cases of ATB were reviewed, and two patients with primary ATB, treated and followed in our clinic, were reported. The age range of the patients (62 females, 60 males and 33 with unnoted gender) was between 2 and 60years, with a mean age of 27.1±10.6years. Of the patients who had applied to hospital, 59 had acute right lower quadrant pain, 46 had recurrent right lower quadrant pain, 19 had generalized pain, and 10 had chronic abdominal symptoms suggestive of subacute intestinal obstruction, while 47 patients were operated on with a diagnosis of acute appendicitis, 24 with recurrent appendicitis, 19 with TB peritonitis, 14 with mass in the right lower quadrant, 13 with subacute intestinal obstruction, and 7 with ATB. While appendectomy was not performed on 4 patients, one or more of the following procedures were done in the other 151 cases: appendectomy, hemicolectomy, ileocecal resection, or cecectomy. Different anti-tubercular treatment regimens with durations varying from 3weeks to 18months were applied to 60 patients. During the follow-up period of 3weeks to 15years, mortality occurred in 14 patients, sinus in five, and fistula in one patient. Secondary ATB was detected in 86 patients, primary ATB in 50, and no differential diagnosis could be made in 19 cases. ConclusionsTuberculosis is a systemic disease with localized manifestations; therefore, anti-TB therapy must be initiated in any patient whose pathologic specimen reveals tuberculosis. KeywordsTuberculosis-Appendicular tuberculosis-Extrapulmonary tuberculosis-Tuberculous appendicitis-Tuberculous peritonitis
    European Journal of Trauma and Emergency Surgery 12/2010; 36(6):579-585. DOI:10.1007/s00068-010-0040-y · 0.35 Impact Factor
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    ABSTRACT: The author presents a young patient presenting with lower gastrointestinal hemorrhage due to tuberculous appendicitis. Though an ileo-cecal region is the most frequent site of involvement of the intestinal tuberculosis, vermiform appendix involvement is rare. Moreover, intestinal tuberculosis is an uncommon cause of lower gastrointestinal hemorrhage. Therefore, bleeding from tuberculous appendicitis is a very rare presentation. In addition, the author demonstrates colonoscopic appearance of the tuberculous appendicitis.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet 07/2008; 91(6):937-42.
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    ABSTRACT: The most common presentation of abdominal tuberculosis is an ileocecal disease, but isolated appendicular involvement is rarely seen. It is difficult to make diagnosis of intestinal tuberculosis because it may mimic many other intestinal diseases. The symptoms are nonspecific such as fever, fatigue and weight loss. A 35-yr-old woman with no remarkable past medical history was admitted due to intermittent abdominal pain of 3 mo duration. The patient underwent laparoscopy-assisted partial ileocecectomy including diseased appendix. Tuberculous appendicitis was finally diagnosed with all considerations of possible pathological results. We report a case of acute appendicitis due to tuberculous involvement with a review of the literature.
    Journal of the Korean Society of Coloproctology 01/2009; 25(2). DOI:10.3393/jksc.2009.25.2.117
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