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. 1998 Aug;74(874):459–467. doi: 10.1136/pgmj.74.874.459

Abdominal tuberculosis.

V K Kapoor 1
PMCID: PMC2360888  PMID: 9926119

Abstract

Tuberculosis has staged a global comeback and forms a dangerous combination with AIDS. The abdomen is one of the common sites of extrapulmonary involvement. Patients with abdominal tuberculosis have a wide range and spectrum of symptoms and signs; the disease is therefore a great mimic. Diagnosis, mainly radiological and supported by endoscopy, is difficult to make and laparotomy is required in a large number of patient. Management involves judicious combination of antitubercular therapy and surgery which may be required to treat complications such as intestinal obstruction and perforation. The disease, though potentially curable, carries a significant morbidity and mortality.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Addison N. V. Abdominal tuberculosis--a disease revived. Ann R Coll Surg Engl. 1983 Mar;65(2):105–111. [PMC free article] [PubMed] [Google Scholar]
  2. Aguado J. M., Pons F., Casafont F., San Miguel G., Valle R. Tuberculous peritonitis: a study comparing cirrhotic and noncirrhotic patients. J Clin Gastroenterol. 1990 Oct;12(5):550–554. [PubMed] [Google Scholar]
  3. Al-Bahrani Z. R., Al-Saleem T. Intestinal tuberculosis in Iraq: a study of 50 cases. Int Surg. 1982 Oct-Dec;67(4 Suppl):483–485. [PubMed] [Google Scholar]
  4. Ali W., Sikora S. S., Banerjee D., Kapoor V. K., Saraswat V. A., Saxena R., Kaushik S. P. Gastroduodenal tuberculosis. Aust N Z J Surg. 1993 Jun;63(6):466–467. doi: 10.1111/j.1445-2197.1993.tb00429.x. [DOI] [PubMed] [Google Scholar]
  5. Alyoune M., Nadir S., Merzouk M., Mounadif A., Biadillah M. C., Jamil D., Alaoui R., Cherkaoui A. Fistules anales tuberculeuses. A propos de treize cas. Ann Gastroenterol Hepatol (Paris) 1994 Jan-Feb;30(1):9–11. [PubMed] [Google Scholar]
  6. Anand B. S., Nanda R., Sachdev G. K. Response of tuberculous stricture to antituberculous treatment. Gut. 1988 Jan;29(1):62–69. doi: 10.1136/gut.29.1.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Anand B. S., Schneider F. E., El-Zaatari F. A., Shawar R. M., Clarridge J. E., Graham D. Y. Diagnosis of intestinal tuberculosis by polymerase chain reaction on endoscopic biopsy specimens. Am J Gastroenterol. 1994 Dec;89(12):2248–2249. [PubMed] [Google Scholar]
  8. Bankier A. A., Fleischmann D., Wiesmayr M. N., Putz D., Kontrus M., Hübsch P., Herold C. J. Update: abdominal tuberculosis--unusual findings on CT. Clin Radiol. 1995 Apr;50(4):223–228. doi: 10.1016/s0009-9260(05)83474-9. [DOI] [PubMed] [Google Scholar]
  9. Bastani B., Shariatzadeh M. R., Dehdashti F. Tuberculous peritonitis--report of 30 cases and review of the literature. Q J Med. 1985 Sep;56(221):549–557. [PubMed] [Google Scholar]
  10. Bhansali S. K. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol. 1977 Apr;67(4):324–337. [PubMed] [Google Scholar]
  11. Bhargava D. K., Dasarathy S., Shriniwas M. D., Kushwaha A. K., Duphare H., Kapur B. M. Evaluation of enzyme-linked immunosorbent assay using mycobacterial saline-extracted antigen for the serodiagnosis of abdominal tuberculosis. Am J Gastroenterol. 1992 Jan;87(1):105–108. [PubMed] [Google Scholar]
  12. Bhargava D. K., Shriniwas, Chopra P., Nijhawan S., Dasarathy S., Kushwaha A. K. Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol. 1992 Jan;87(1):109–112. [PubMed] [Google Scholar]
  13. Chawla T. C., Sharma A., Kiran U., Bhargava D. K., Tandon B. N. Serodiagnosis of intestinal tuberculosis by enzyme immunoassay and soluble antigen fluorescent antibody tests using a saline extracted antigen. Tubercle. 1986 Mar;67(1):55–60. doi: 10.1016/0041-3879(86)90032-2. [DOI] [PubMed] [Google Scholar]
  14. Chen W. S., Leu S. Y., Hsu H., Lin J. K., Lin T. C. Trend of large bowel tuberculosis and the relation with pulmonary tuberculosis. Dis Colon Rectum. 1992 Feb;35(2):189–192. doi: 10.1007/BF02050677. [DOI] [PubMed] [Google Scholar]
  15. Cook G. C. Tuberculosis--certainly not a disease of the past! Q J Med. 1985 Sep;56(221):519–521. [PubMed] [Google Scholar]
  16. Cooke N. J. Treatment of tuberculosis. Br Med J (Clin Res Ed) 1985 Aug 24;291(6494):497–498. doi: 10.1136/bmj.291.6494.497. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Das P., Shukla H. S. Clinical diagnosis of abdominal tuberculosis. Br J Surg. 1976 Dec;63(12):941–946. doi: 10.1002/bjs.1800631213. [DOI] [PubMed] [Google Scholar]
  18. Dhar A., Bagga D., Taneja S. B. Perforated tubercular enteritis of childhood: a ten year study. Indian J Pediatr. 1990 Sep-Oct;57(5):713–716. doi: 10.1007/BF02728720. [DOI] [PubMed] [Google Scholar]
  19. Di Placido R., Pietroletti R., Leardi S., Simi M. Primary gastroduodenal tuberculous infection presenting as pyloric outlet obstruction. Am J Gastroenterol. 1996 Apr;91(4):807–808. [PubMed] [Google Scholar]
  20. Diab S., Abu Nema T., Abu Zidan F. Portal hypertension complicating abdominal tuberculosis. Case report. Acta Chir Scand. 1990 Jun-Jul;156(6-7):495–497. [PubMed] [Google Scholar]
  21. Dineeen P., Homan W. P., Grafe W. R. Tuberculous peritonitis: 43 years' expereince in diagnosis and treatment. Ann Surg. 1976 Dec;184(6):717–722. doi: 10.1097/00000658-197612000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Dwivedi M., Misra S. P., Misra V., Kumar R. Value of adenosine deaminase estimation in the diagnosis of tuberculous ascites. Am J Gastroenterol. 1990 Sep;85(9):1123–1125. [PubMed] [Google Scholar]
  23. Eggleston F. C., Deodhar M. C., Kumar A. Tuberculous perforation of the bowel--results in 21 cases. Trop Gastroenterol. 1983 Jul-Sep;4(3):164–167. [PubMed] [Google Scholar]
  24. El Masri S. H., Boulos P., Malick M. O. Abdominal tuberculosis in Sudanese patients. East Afr Med J. 1977 Jun;54(6):319–326. [PubMed] [Google Scholar]
  25. Essop A. R., Posen J. A., Hodkinson J. H., Segal I. Tuberculosis hepatitis: a clinical review of 96 cases. Q J Med. 1984 Autumn;53(212):465–477. [PubMed] [Google Scholar]
  26. Evine H. Needle biopsy diagnosis of tuberculous peritonitis. Am Rev Respir Dis. 1968 May;97(5):889–894. doi: 10.1164/arrd.1968.97.5.889. [DOI] [PubMed] [Google Scholar]
  27. Fee M. J., Oo M. M., Gabayan A. E., Radin D. R., Barnes P. F. Abdominal tuberculosis in patients infected with the human immunodeficiency virus. Clin Infect Dis. 1995 Apr;20(4):938–944. doi: 10.1093/clinids/20.4.938. [DOI] [PubMed] [Google Scholar]
  28. Fica A., Belletti J., Cruzat C., Rojas D., Montalva M. Tuberculosis intestinal: análisis de casos clínicos y autopsias. Rev Med Chil. 1991 Oct;119(10):1153–1159. [PubMed] [Google Scholar]
  29. Findlay J. M., Addison N. V., Stevenson D. K., Mirza Z. A. Tuberculosis of the gastrointestinal tract in Bradford, 1967-77. J R Soc Med. 1979 Aug;72(8):587–590. doi: 10.1177/014107687907200808. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Goldman K. P. AIDS and tuberculosis. Tubercle. 1988 Mar;69(1):71–72. doi: 10.1016/0041-3879(88)90044-x. [DOI] [PubMed] [Google Scholar]
  31. Guth A. A., Kim U. The reappearance of abdominal tuberculosis. Surg Gynecol Obstet. 1991 Jun;172(6):432–436. [PubMed] [Google Scholar]
  32. Ha H. K., Jung J. I., Lee M. S., Choi B. G., Lee M. G., Kim Y. H., Kim P. N., Auh Y. H. CT differentiation of tuberculous peritonitis and peritoneal carcinomatosis. AJR Am J Roentgenol. 1996 Sep;167(3):743–748. doi: 10.2214/ajr.167.3.8751693. [DOI] [PubMed] [Google Scholar]
  33. Haddad F. S., Ghossain A., Sawaya E., Nelson A. R. Abdominal tuberculosis. Dis Colon Rectum. 1987 Sep;30(9):724–735. doi: 10.1007/BF02561699. [DOI] [PubMed] [Google Scholar]
  34. Hashimoto M., Koyama H., Noie T., Shibayama K., Kitamura N. Abdominal tuberculoma mimicking a pancreatic neoplasm: report of a case. Surg Today. 1995;25(4):365–368. doi: 10.1007/BF00311262. [DOI] [PubMed] [Google Scholar]
  35. Hibbs R. G., Kamal M., Farid Z. Abdominal tuberculosis in Cairo, Egypt. Trans R Soc Trop Med Hyg. 1994 May-Jun;88(3):317–318. doi: 10.1016/0035-9203(94)90099-x. [DOI] [PubMed] [Google Scholar]
  36. Homan W. P., Grafe W. R., Dineen P. A 44-year experience with tuberculous enterocolitis. World J Surg. 1977 Mar;2(1):245–250. doi: 10.1007/BF01665095. [DOI] [PubMed] [Google Scholar]
  37. Innes J. A. Non-respiratory tuberculosis. J R Coll Physicians Lond. 1981 Oct;15(4):227–231. [PMC free article] [PubMed] [Google Scholar]
  38. Iseman M. D. Treatment of multidrug-resistant tuberculosis. N Engl J Med. 1993 Sep 9;329(11):784–791. doi: 10.1056/NEJM199309093291108. [DOI] [PubMed] [Google Scholar]
  39. Jayanthi V., Probert C. S., Sher K. S., Wicks A. C., Mayberry J. F. The renaissance of abdominal tuberculosis. Dig Dis. 1993;11(1):36–44. doi: 10.1159/000171399. [DOI] [PubMed] [Google Scholar]
  40. Jayaswal R., Jena P. K., Gopinathan V. P., Chauhan M. S. Recurrent acute tuberculous perforations of small intestine associated with miliary tuberculosis of lung. J Assoc Physicians India. 1986 Nov;34(11):817–818. [PubMed] [Google Scholar]
  41. Kakar A., Aranya R. C., Nair S. K. Acute perforation of small intestine due to tuberculosis. Aust N Z J Surg. 1983 Aug;53(4):381–383. doi: 10.1111/j.1445-2197.1983.tb02467.x. [DOI] [PubMed] [Google Scholar]
  42. Kapoor V. K., Chattopadhyay T. K., Sharma L. K. Radiology of abdominal tuberculosis. Australas Radiol. 1988 Aug;32(3):365–367. doi: 10.1111/j.1440-1673.1988.tb02754.x. [DOI] [PubMed] [Google Scholar]
  43. Kapoor V. K. Koch's or Crohn's? Int J Clin Pract. 1997 Jun;51(4):246–247. [PubMed] [Google Scholar]
  44. Kapoor V. K., Sharma L. K. Abdominal tuberculosis. Br J Surg. 1988 Jan;75(1):2–3. doi: 10.1002/bjs.1800750103. [DOI] [PubMed] [Google Scholar]
  45. Kashima K., Oka S., Tabata A., Yasuda K., Kitano A., Kobayashi K., Yano I. Detection of anti-cord factor antibodies in intestinal tuberculosis for its differential diagnosis from Crohn's disease and ulcerative colitis. Dig Dis Sci. 1995 Dec;40(12):2630–2634. doi: 10.1007/BF02220452. [DOI] [PubMed] [Google Scholar]
  46. Katariya R. N., Sood S., Rao P. G., Rao P. L. Stricture-plasty for tubercular strictures of the gastro-intestinal tract. Br J Surg. 1977 Jul;64(7):496–498. doi: 10.1002/bjs.1800640713. [DOI] [PubMed] [Google Scholar]
  47. Kedar R. P., Shah P. P., Shivde R. S., Malde H. M. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol. 1994 Jan;49(1):24–29. doi: 10.1016/s0009-9260(05)82909-5. [DOI] [PubMed] [Google Scholar]
  48. Klimach O. E., Ormerod L. P. Gastrointestinal tuberculosis: a retrospective review of 109 cases in a district general hospital. Q J Med. 1985 Sep;56(221):569–578. [PubMed] [Google Scholar]
  49. Ko C. Y., Schmit P. J., Petrie B., Thompson J. E. Abdominal tuberculosis: the surgical perspective. Am Surg. 1996 Oct;62(10):865–868. [PubMed] [Google Scholar]
  50. Lambrianides A. L., Ackroyd N., Shorey B. A. Abdominal tuberculosis. Br J Surg. 1980 Dec;67(12):887–889. doi: 10.1002/bjs.1800671216. [DOI] [PubMed] [Google Scholar]
  51. Lewis E. A., Kolawole T. M. Tuberculous ileo-colitis in Ibadan: a clinicoradiological review. Gut. 1972 Aug;13(8):646–653. doi: 10.1136/gut.13.8.646. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Lingenfelser T., Zak J., Marks I. N., Steyn E., Halkett J., Price S. K. Abdominal tuberculosis: still a potentially lethal disease. Am J Gastroenterol. 1993 May;88(5):744–750. [PubMed] [Google Scholar]
  53. Lisehora G. B., Peters C. C., Lee Y. T., Barcia P. J. Tuberculous peritonitis--do not miss it. Dis Colon Rectum. 1996 Apr;39(4):394–399. doi: 10.1007/BF02054053. [DOI] [PubMed] [Google Scholar]
  54. Liu K. W., Chan Y. L., Tseng R., Oppenheimer S. J. Childhood abdominal tuberculosis. The role of echo-guided fine-needle aspiration in its management. Surg Endosc. 1994 Apr;8(4):326–328. doi: 10.1007/BF00590963. [DOI] [PubMed] [Google Scholar]
  55. Lundstedt C., Nyman R., Brismar J., Hugosson C., Kagevi I. Imaging of tuberculosis. II. Abdominal manifestations in 112 patients. Acta Radiol. 1996 Jul;37(4):489–495. doi: 10.1177/02841851960373P213. [DOI] [PubMed] [Google Scholar]
  56. Mandal B. K., Schofield P. F. Abdominal tuberculosis in Britain. Practitioner. 1976 Jun;216(1296):683–689. [PubMed] [Google Scholar]
  57. McGee G. S., Williams L. F., Potts J., Barnwell S., Sawyers J. L. Gastrointestinal tuberculosis: resurgence of an old pathogen. Am Surg. 1989 Jan;55(1):16–20. [PubMed] [Google Scholar]
  58. Misra A., Khanduri A., Jain M., Gupta R. K., Choudhuri G. Colonic tuberculosis presenting as diffuse pancolitis. Indian J Gastroenterol. 1996 Jul;15(3):105–105. [PubMed] [Google Scholar]
  59. Mokoena T., Bairagi N. Acute tuberculous pancreatitis associated with HIV infection. Trop Doct. 1994 Oct;24(4):172–173. doi: 10.1177/004947559402400413. [DOI] [PubMed] [Google Scholar]
  60. Monge E., Lozano R., Salazar S. Esophageal tuberculosis. Am J Gastroenterol. 1992 Jan;87(1):156–156. [PubMed] [Google Scholar]
  61. Monkemuller K. E., Lewis J. B., Jr Massive rectal bleeding from colonic tuberculosis. Am J Gastroenterol. 1996 Jul;91(7):1439–1441. [PubMed] [Google Scholar]
  62. Murphy T. F., Gray G. F. Biliary tract obstruction due to tuberculous adenitis. Am J Med. 1980 Mar;68(3):452–454. doi: 10.1016/0002-9343(80)90119-9. [DOI] [PubMed] [Google Scholar]
  63. Nistal de Paz F., Herrero Fernández B., Pérez Simón R., Fernández Pérez E., Nistal de Paz C., Ortoll Battle P., Muñoz Rodríguez M. Pelvic-peritoneal tuberculosis simulating ovarian carcinoma: report of three cases with elevation of the CA 125. Am J Gastroenterol. 1996 Aug;91(8):1660–1661. [PubMed] [Google Scholar]
  64. Palmer K. R., Patil D. H., Basran G. S., Riordan J. F., Silk D. B. Abdominal tuberculosis in urban Britain--a common disease. Gut. 1985 Dec;26(12):1296–1305. doi: 10.1136/gut.26.12.1296. [DOI] [PMC free article] [PubMed] [Google Scholar]
  65. Prakash A. Ulcero-constrictive tuberculosis of the bowel. Int Surg. 1978 Jul-Aug;63(5):23–29. [PubMed] [Google Scholar]
  66. Probert C. S., Jayanthi V., Wicks A. C., Carr-Locke D. L., Garner P., Mayberry J. F. Epidemiological study of abdominal tuberculosis among Indian migrants and the indigenous population of Leicester, 1972-1989. Gut. 1992 Aug;33(8):1085–1088. doi: 10.1136/gut.33.8.1085. [DOI] [PMC free article] [PubMed] [Google Scholar]
  67. Pujari B. D. Modified surgical procedures in intestinal tuberculosis. Br J Surg. 1979 Mar;66(3):180–181. doi: 10.1002/bjs.1800660312. [DOI] [PubMed] [Google Scholar]
  68. Puri A. S., Vij J. C., Chaudhary A., Kumar N., Sachdev A., Malhotra V., Malik V. K., Broor S. L. Diagnosis and outcome of isolated rectal tuberculosis. Dis Colon Rectum. 1996 Oct;39(10):1126–1129. doi: 10.1007/BF02081413. [DOI] [PubMed] [Google Scholar]
  69. Rodríguez E., Pombo F. Peritoneal tuberculosis versus peritoneal carcinomatosis: distinction based on CT findings. J Comput Assist Tomogr. 1996 Mar-Apr;20(2):269–272. doi: 10.1097/00004728-199603000-00018. [DOI] [PubMed] [Google Scholar]
  70. Rosengart T. K., Coppa G. F. Abdominal mycobacterial infections in immunocompromised patients. Am J Surg. 1990 Jan;159(1):125–131. doi: 10.1016/s0002-9610(05)80617-8. [DOI] [PubMed] [Google Scholar]
  71. Schofield P. F. Abdominal tuberculosis. Gut. 1985 Dec;26(12):1275–1278. doi: 10.1136/gut.26.12.1275. [DOI] [PMC free article] [PubMed] [Google Scholar]
  72. Shah P., Ramakantan R. Role of vasculitis in the natural history of abdominal tuberculosis--evaluation by mesenteric angiography. Indian J Gastroenterol. 1991 Oct;10(4):127–130. [PubMed] [Google Scholar]
  73. Shah S., Thomas V., Mathan M., Chacko A., Chandy G., Ramakrishna B. S., Rolston D. D. Colonoscopic study of 50 patients with colonic tuberculosis. Gut. 1992 Mar;33(3):347–351. doi: 10.1136/gut.33.3.347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  74. Sharma A. K., Agarwal L. D., Sharma C. S., Sarin Y. K. Abdominal tuberculosis in children: experience over a decade. Indian Pediatr. 1993 Sep;30(9):1149–1153. [PubMed] [Google Scholar]
  75. Sharp J. F., Goldman M. Abdominal tuberculosis in East Birmingham--a 16 year study. Postgrad Med J. 1987 Jul;63(741):539–542. doi: 10.1136/pgmj.63.741.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
  76. Sheikh M., Abu-Zidan F., al-Hilaly M., Behbehani A. Abdominal tuberculosis: comparison of sonography and computed tomography. J Clin Ultrasound. 1995 Sep;23(7):413–417. doi: 10.1002/jcu.1870230704. [DOI] [PubMed] [Google Scholar]
  77. Sherman S., Rohwedder J. J., Ravikrishnan K. P., Weg J. G. Tuberculous enteritis and peritonitis. Report of 36 general hospital cases. Arch Intern Med. 1980 Apr;140(4):506–508. [PubMed] [Google Scholar]
  78. Shukla H. S., Bhatia S., Naitrani Y. P., Das P., Gupta S. C. Peritoneal biopsy for diagnosis of abdominal tuberculosis. Postgrad Med J. 1982 Apr;58(678):226–228. doi: 10.1136/pgmj.58.678.226. [DOI] [PMC free article] [PubMed] [Google Scholar]
  79. Singh M. M., Bhargava A. N., Jain K. P. Tuberculous peritonitis. An evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med. 1969 Nov 13;281(20):1091–1094. doi: 10.1056/NEJM196911132812003. [DOI] [PubMed] [Google Scholar]
  80. Singh V., Jain A. K., Agrawal A. K., Gupta S., Khanna S., Khanna A. K., Gupta J. P. Clinicopathological profile of abdominal tuberculosis. Br J Clin Pract. 1995 Jan-Feb;49(1):22–24. [PubMed] [Google Scholar]
  81. Singh V., Kumar P., Kamal J., Prakash V., Vaiphei K., Singh K. Clinicocolonoscopic profile of colonic tuberculosis. Am J Gastroenterol. 1996 Mar;91(3):565–568. [PubMed] [Google Scholar]
  82. Sözbilen M., Erhan Y., Koyuncu A. Tuberculosis of the pancreas. Br J Surg. 1992 Aug;79(8):802–802. doi: 10.1002/bjs.1800790831. [DOI] [PubMed] [Google Scholar]
  83. Tandon H. D., Prakash A. Pathology of intestinal tuberculosis and its distinction from Crohn's disease. Gut. 1972 Apr;13(4):260–269. doi: 10.1136/gut.13.4.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
  84. Tandon R. K., Bansal R., Kapur B. M., Shriniwas A study of malabsorption in intestinal tuberculosis: stagnant loop syndrome. Am J Clin Nutr. 1980 Feb;33(2):244–250. doi: 10.1093/ajcn/33.2.244. [DOI] [PubMed] [Google Scholar]
  85. Tandon R. K., Sarin S. K., Bose S. L., Berry M., Tandon B. N. A clinico-radiological reappraisal of intestinal tuberculosis--changing profile? Gastroenterol Jpn. 1986 Feb;21(1):17–22. doi: 10.1007/BF02775935. [DOI] [PubMed] [Google Scholar]
  86. Underwood M. J., Thompson M. M., Sayers R. D., Hall A. W. Presentation of abdominal tuberculosis to general surgeons. Br J Surg. 1992 Oct;79(10):1077–1079. doi: 10.1002/bjs.1800791030. [DOI] [PubMed] [Google Scholar]
  87. Vanderpool D. M., O'Leary J. P. Primary tuberculous enteritis. Surg Gynecol Obstet. 1988 Aug;167(2):167–173. [PubMed] [Google Scholar]
  88. Walia H. S., Khafagy A. R., al-Sayer H. M., Walia H. K., al-Nakib B., Sivanandan R. Unusual presentations of abdominal tuberculosis. Can J Surg. 1994 Aug;37(4):300–306. [PubMed] [Google Scholar]
  89. Watters D. A. Surgery for tuberculosis before and after human immunodeficiency virus infection: a tropical perspective. Br J Surg. 1997 Jan;84(1):8–14. [PubMed] [Google Scholar]
  90. Wells A. D., Northover J. M., Howard E. R. Abdominal tuberculosis: still a problem today. J R Soc Med. 1986 Mar;79(3):149–153. doi: 10.1177/014107688607900307. [DOI] [PMC free article] [PubMed] [Google Scholar]
  91. Wilkins E. G. Tuberculosis peritonitis: diagnostic value of the ascitic/blood glucose ratio. Tubercle. 1984 Mar;65(1):47–52. doi: 10.1016/0041-3879(84)90029-1. [DOI] [PubMed] [Google Scholar]
  92. Yachha S. K., Misra S., Malik A. K., Nagi B., Mehta S. Spectrum of malabsorption syndrome in north Indian children. Indian J Gastroenterol. 1993 Oct;12(4):120–125. [PubMed] [Google Scholar]
  93. al Karawi M. A., Mohamed A. E., Yasawy M. I., Graham D. Y., Shariq S., Ahmed A. M., al Jumah A., Ghandour Z. Protean manifestation of gastrointestinal tuberculosis: report on 130 patients. J Clin Gastroenterol. 1995 Apr;20(3):225–232. doi: 10.1097/00004836-199504000-00013. [DOI] [PubMed] [Google Scholar]
  94. al-Hadeedi S., Walia H. S., al-Sayer H. M. Abdominal tuberculosis. Can J Surg. 1990 Jun;33(3):233–237. [PubMed] [Google Scholar]
  95. al-Quorain A. A., Facharzt, Satti M. B., al-Freihi H. M., al-Gindan Y. M., al-Awad N. Abdominal tuberculosis in Saudi Arabia: a clinicopathological study of 65 cases. Am J Gastroenterol. 1993 Jan;88(1):75–79. [PubMed] [Google Scholar]

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