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(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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    • "Paustian's diagnostic criteria for intestinal TB consists of one of the following items: (a) positive culture of the tissue for M. tuberculosis; (b) presence of acid-fast bacilli in the tissue ; (c) presence of granuloma with caseous necrosis in histopathological examination; or (d) inspection of characteristic visual findings of a resected specimen and compatible histological findings in the mesenteric lymph nodes [2] [3] [7]. If the biopsy reveals TB, anti-TB drugs have to be started [1]. Any delay in treatment can lead to significant complications [5], although some authors believed that in primary TB Fig. 1 – Histopathological examination of resected appendix (see text for details). "
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    ABSTRACT: Acute tubercular appendicitis has remained a rare disease despite frequent cases of tuberculosis. The following study reports a patient with multidrug-resistant (MDR) pulmonary tuberculosis that developed acute appendicitis. Histopathology of the appendix was compatible with tuberculosis. The patient had a good outcome after surgery and medical therapy.
    International Journal of Mycobacteriology 12/2013; 2(4). DOI:10.1016/j.ijmyco.2013.07.003
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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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