Professional Documents
Culture Documents
Introduction
HIV & TB
Incidence severity of
abdominal TB will increase with
the HIV epidemic
Pathogenesis
reach the
Spread from LN
Intestinal lesions or
Tubercular salpingitis
Clinical Features
Constitutional symptoms
Fever (40%-70%)
Anorexia
Malaise
Pain (80%-95%)
Continous ( LN involvement)
Diarrhoea (11%-20%)
Constipation
Tuberculosis of esophagus
Rare
Gastroduodenal TB
Ileocaecal tuberculosis
Borborygmi
ileocaecal
region,
Obstruction
Hyperplastic caecal TB
Adhesions
Perforation
Malabsorption
Pathogenesis
Colonic tuberculosis
Constitutional symptoms
Constipation
Rectal stricture
Raised ESR
Anemia
Hypoalbuminaemia
Immunological Tests
ELISA
Straw coloured
Protein >3g/dL
stimulation of T-cells by
Colonoscopy
Colonoscopy - mucosal nodules & ulcers
Nodules
Tubercular ulcers
Colonoscopic Diagnosis
Granulomas in 8%-48%
Laparoscopic Findings
Management