Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward

Noori H. Jasim; Hashim S. Khayat

doi:doi:10.11648/j.js.20170501.11

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Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward

Noori H. Jasim, Hashim S. Khayat

Published in Journal of Surgery (Volume 5, Issue 1)

Received: 3 February 2017 Accepted: 21 February 2017 Published: 15 March 2017

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Abstract

Little is known in our country particularly in Basra about tuberculous lesions affecting the gastrointestinal tract specifically solid and hallow organs such as liver, pancreas, stomach or intestine. Hence, this study aimed to report, describe and study these cases. The current study is retrospectively studied 12 patients who got tuberculous lesions along the gastrointestinal tract over the last 2 decades in Basra General Hospital (2 of them were gastric, 3 hepatic, 3 pancreatic, 3 small intestinal; one of them affecting duodenojejunal flexure, and lastly 1 perianal sinus ulcerating the nearby skin). All those patients underwent the required surgical operations. In all those patients, TB was diagnosed postoperatively by histopathology and all of them received anti-tuberculosis triple therapy for 6 months including INH, Rifampicin and Ethambutol. A long term scheduled follow up was done showing that all of them were improved except one elderly patient with TB pancreatitis died at early postoperative period. None of these cases effected with pulmonary tuberculosis previously or concomitantly. One case of hepatic tuberculosis had cervical and intra-abdominal lymphadenopathy. It is of interest to mention that extrapulmonary TB in solid and hallow organs of gastrointestinal tract should be considered when evaluating patients with gastrointestinal presentations and lesions such as ulcer, mass, abscess or perianal fistula in endemic areas and the potential for affecting these organs (along gastrointestinal tract) should be kept in mind and accounted for.

Published in	Journal of Surgery (Volume 5, Issue 1)
DOI	10.11648/j.js.20170501.11
Page(s)	1-7
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Tuberculosis, Gastrointestinal Tract, Surgical Ward

References

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APA Style

Noori H. Jasim, Hashim S. Khayat. (2017). Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. Journal of Surgery, 5(1), 1-7. https://doi.org/10.11648/j.js.20170501.11

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ACS Style

Noori H. Jasim; Hashim S. Khayat. Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. J. Surg. 2017, 5(1), 1-7. doi: 10.11648/j.js.20170501.11

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AMA Style

Noori H. Jasim, Hashim S. Khayat. Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. J Surg. 2017;5(1):1-7. doi: 10.11648/j.js.20170501.11

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@article{10.11648/j.js.20170501.11,
  author = {Noori H. Jasim and Hashim S. Khayat},
  title = {Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward},
  journal = {Journal of Surgery},
  volume = {5},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.js.20170501.11},
  url = {https://doi.org/10.11648/j.js.20170501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170501.11},
  abstract = {Little is known in our country particularly in Basra about tuberculous lesions affecting the gastrointestinal tract specifically solid and hallow organs such as liver, pancreas, stomach or intestine. Hence, this study aimed to report, describe and study these cases. The current study is retrospectively studied 12 patients who got tuberculous lesions along the gastrointestinal tract over the last 2 decades in Basra General Hospital (2 of them were gastric, 3 hepatic, 3 pancreatic, 3 small intestinal; one of them affecting duodenojejunal flexure, and lastly 1 perianal sinus ulcerating the nearby skin). All those patients underwent the required surgical operations. In all those patients, TB was diagnosed postoperatively by histopathology and all of them received anti-tuberculosis triple therapy for 6 months including INH, Rifampicin and Ethambutol. A long term scheduled follow up was done showing that all of them were improved except one elderly patient with TB pancreatitis died at early postoperative period. None of these cases effected with pulmonary tuberculosis previously or concomitantly. One case of hepatic tuberculosis had cervical and intra-abdominal lymphadenopathy. It is of interest to mention that extrapulmonary TB in solid and hallow organs of gastrointestinal tract should be considered when evaluating patients with gastrointestinal presentations and lesions such as ulcer, mass, abscess or perianal fistula in endemic areas and the potential for affecting these organs (along gastrointestinal tract) should be kept in mind and accounted for.},
 year = {2017}
}

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TY - JOUR
T1 - Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward
AU - Noori H. Jasim
AU - Hashim S. Khayat
Y1 - 2017/03/15
PY - 2017
N1 - https://doi.org/10.11648/j.js.20170501.11
DO - 10.11648/j.js.20170501.11
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 1
EP - 7
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20170501.11
AB - Little is known in our country particularly in Basra about tuberculous lesions affecting the gastrointestinal tract specifically solid and hallow organs such as liver, pancreas, stomach or intestine. Hence, this study aimed to report, describe and study these cases. The current study is retrospectively studied 12 patients who got tuberculous lesions along the gastrointestinal tract over the last 2 decades in Basra General Hospital (2 of them were gastric, 3 hepatic, 3 pancreatic, 3 small intestinal; one of them affecting duodenojejunal flexure, and lastly 1 perianal sinus ulcerating the nearby skin). All those patients underwent the required surgical operations. In all those patients, TB was diagnosed postoperatively by histopathology and all of them received anti-tuberculosis triple therapy for 6 months including INH, Rifampicin and Ethambutol. A long term scheduled follow up was done showing that all of them were improved except one elderly patient with TB pancreatitis died at early postoperative period. None of these cases effected with pulmonary tuberculosis previously or concomitantly. One case of hepatic tuberculosis had cervical and intra-abdominal lymphadenopathy. It is of interest to mention that extrapulmonary TB in solid and hallow organs of gastrointestinal tract should be considered when evaluating patients with gastrointestinal presentations and lesions such as ulcer, mass, abscess or perianal fistula in endemic areas and the potential for affecting these organs (along gastrointestinal tract) should be kept in mind and accounted for.
VL - 5
IS - 1
ER -

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Author Information

Noori H. Jasim

General and GI Surgery, Department of Surgery, Faculty of Medicine, University of Basra, Basra, Iraq
Hashim S. Khayat

Basra General Hospital, Basra, Iraq

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APA Style

Noori H. Jasim, Hashim S. Khayat. (2017). Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. Journal of Surgery, 5(1), 1-7. https://doi.org/10.11648/j.js.20170501.11

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ACS Style

Noori H. Jasim; Hashim S. Khayat. Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. J. Surg. 2017, 5(1), 1-7. doi: 10.11648/j.js.20170501.11

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AMA Style

Noori H. Jasim, Hashim S. Khayat. Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward. J Surg. 2017;5(1):1-7. doi: 10.11648/j.js.20170501.11

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@article{10.11648/j.js.20170501.11,
  author = {Noori H. Jasim and Hashim S. Khayat},
  title = {Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward},
  journal = {Journal of Surgery},
  volume = {5},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.js.20170501.11},
  url = {https://doi.org/10.11648/j.js.20170501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170501.11},
  abstract = {Little is known in our country particularly in Basra about tuberculous lesions affecting the gastrointestinal tract specifically solid and hallow organs such as liver, pancreas, stomach or intestine. Hence, this study aimed to report, describe and study these cases. The current study is retrospectively studied 12 patients who got tuberculous lesions along the gastrointestinal tract over the last 2 decades in Basra General Hospital (2 of them were gastric, 3 hepatic, 3 pancreatic, 3 small intestinal; one of them affecting duodenojejunal flexure, and lastly 1 perianal sinus ulcerating the nearby skin). All those patients underwent the required surgical operations. In all those patients, TB was diagnosed postoperatively by histopathology and all of them received anti-tuberculosis triple therapy for 6 months including INH, Rifampicin and Ethambutol. A long term scheduled follow up was done showing that all of them were improved except one elderly patient with TB pancreatitis died at early postoperative period. None of these cases effected with pulmonary tuberculosis previously or concomitantly. One case of hepatic tuberculosis had cervical and intra-abdominal lymphadenopathy. It is of interest to mention that extrapulmonary TB in solid and hallow organs of gastrointestinal tract should be considered when evaluating patients with gastrointestinal presentations and lesions such as ulcer, mass, abscess or perianal fistula in endemic areas and the potential for affecting these organs (along gastrointestinal tract) should be kept in mind and accounted for.},
 year = {2017}
}

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