Tuberculous appendicitis

Rabbani, K.; Narjis, Y.; Difaa, A.; Louzi, A.; Benelkhaiat, R.; Finech, B.

doi:10.4103/1319-3767.82587

Cited by 12 publications

(13 citation statements)

References 5 publications

(6 reference statements)

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“…Several authors reported the mode of tuberculous appendicitis infection to be ingestion of contaminated foods and unhealthy sanitary habits. 3 , 6 Rabbani et al 7 reported that tuberculous appendicitis was usually secondary to TB elsewhere in the abdomen. 7 Sinha and Sarin 8 also reported that appendicular TB was associated with secondary tuberculous salpingitis.…”

Section: Discussionmentioning

confidence: 99%

Perforated tuberculous appendicitis: a rare case report

Gonie¹,

Bekele²

2018

IMCRJ

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BackgroundGastrointestinal tuberculosis (TB) accounts for 3% of extrapulmonary TB. Tuberculous appendicitis is a rare type of abdominal TB and is seen in only 0.1%–0.3% of cases. Diagnosis is usually made after histopathologic examination of the appendectomy specimen. In Ethiopia, there had been no previous report of perforated appendicular TB, and to our knowledge, this is the first case report of a patient with perforated tuberculous appendicitis to be presented.Case reportA 22-year-old male patient presented with complaints of severe abdominal cramp, periumbilical pain, nausea, 2 episodes of nonbilious vomiting, as well as high-grade fever. Upon admission, abdominal examination revealed direct tenderness below the umbilicus bilaterally and rebound tenderness over the right lower quadrant of the abdomen. The peritoneal cavity was opened through a lower midline incision, and a perforated appendix at the base was found.DiscussionFrom the resected appendix, a sample biopsy was sent for histopathology, and the histological picture revealed granulomatous caseification lesion in the body of the appendix, but no granulomatous lesions elsewhere in the bowel or omentum. Based on these findings, the final diagnosis of perforated tuberculous appendicitis was made. After surgery, the patient started anti-TB treatment on the fourth postoperative day and continued therapy for 6 months, and marked clinical recovery has been observed to date.ConclusionPerforated tuberculous appendicitis was diagnosed only after histopathologic examination of the resected appendix. Hence, TB, a highly prevalent disease in low-income countries, should always be considered in patients with nonspecific abdominal clinical sign and symptoms. It is also suggested that all specimens from perforated appendicitis be subjected to histopathologic examination.

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Section: Discussionmentioning

confidence: 99%

Perforated tuberculous appendicitis: a rare case report

Gonie¹,

Bekele²

2018

IMCRJ

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“…Our patient had a subacute onset. Other published cases showed different types of onset of TB appendicitis, either acute, moreover with classical appendicitis signs [11], or subacute, the rarest, with appendiceal mass, often treated for acute gastroenteritis [12]. Most frequent symptoms cited are weight loss, weakness, lack of appetite, along with uncharacteristic abdominal pain, as our patient [13].…”

Section: Discussionmentioning

confidence: 55%

Tuberculous appendicitis. A case report

2017

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Double localization of tuberculosis is a rare finding among immunocompetent patients. Intestinal tuberculosis is a rare condition and its diagnosis remains a challenge to the physician. We present the case of a 21 year old male patient with intestinal tuberculosis in which the first manifestation was an acute appendicitis. Ultrasound findings were an abscessed appendicular mass. The surgical intervention found a granulomatous aspect of the peritoneum and total necrosis of the appendix. Histopathological examination confirmed the diagnosis and the pulmonary radiography detected the concomitant pulmonary tuberculosis.

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“…TB may affect all of the segments of the GI system, from the mouth to anus with ileo-cecal involvement of 40% of cases of intra-abdominal tuberculosis [23]. Tubercular appendicitis was first recognized by Corbin in 1873 and seen in about 1% of cases of intra-abdominal appendicitis [23,24]. Histopathological examination is usually needed for accurate diagnosis of this condition and usually reveals the presence of caseating granulomas and Langhans giant cells.…”

Section: Discussionmentioning

confidence: 99%

A Clinicopathological Review of 655 Appendices Removed For Acute Appendicitis in a Tertiary Care Medical Center in Lebanon: A Retrospective Study

2019

JGDS

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Context: Acute appendicitis is the most commonly performed emergency abdominal surgery. A variety of conditions can mimic it. Aims: This study aims to determine the pathological diagnosis in appendectomy specimens. Methods and Materials: This is a retrospective analysis of 655 patients who underwent appendectomy in a tertiary care centre between January 2007 and February 2018. Demographic information was gathered. The results were analysed using SPSS statistics software. Results: 655 patients were included (male to female ratio: 1.46/1). The mean age was 31.9 years. Histopathological findings were abnormal in 514 (78.4%) including uncomplicated appendicitis 442 (67.4%), perforated appendicitis 26 (3.97%), necrotic gangrenous appendicitis 7 (1.1%), accidental appendicitis 5 (0.76%), purulent appendicitis 4 (0.6%), congestion 11 (1.67%), fecaloma 8 (1.22%) and unusual findings in 13 patients. The perforation rate was 7.6%. Patients with pathologically normal appendices were significantly older than those with abnormal appendices (P<0.05). Abnormal findings were more seen in males (p<0.05). The false appendectomy rate for appendicitis was 12.8% (75 cases), Gender was determined to have a significant effect on this rate (P<0.05) which was more seen in females (60%) while age had no effect on it. Conclusion: The variety of pathological results post appendectomy verifies the continuous need for histopathological studies to confirm the diagnosis. False appendectomy rate is more common in females which suggest the need of laparoscopy in this group.

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Tuberculous appendicitis

Cited by 12 publications

References 5 publications

Perforated tuberculous appendicitis: a rare case report

Perforated tuberculous appendicitis: a rare case report

Tuberculous appendicitis. A case report

A Clinicopathological Review of 655 Appendices Removed For Acute Appendicitis in a Tertiary Care Medical Center in Lebanon: A Retrospective Study

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