scholarly journals Is abdominal tuberculosis a surgical problem?

2015 ◽  
Vol 97 (6) ◽  
pp. 414-419 ◽  
Author(s):  
S Pattanayak ◽  
S Behuria

Introduction Abdominal tuberculosis (TB) has always been a diagnostic challenge, even for the astute surgeon. In developing countries, extrapulmonary TB often presents as an acute abdomen in surgical emergencies such as perforations and obstructions of the gut. Abdominal TB in different forms has been found more often as an aetiology for the chronic abdomen. This paper aims to evaluate TB as a surgical problem. Methods A comprehensive review of the literature on abdominal TB was undertaken. PubMed searches for articles listing abdominal TB/different types/diagnosis/treatment (1980–2012) were performed. Results TB is still a global health problem and the abdomen is one of the most common sites of extrapulmonary TB. Presentation may vary from an acute abdomen to a number of different chronic presentations, which can mimic other abdominal diseases. While some may benefit from antitubercular therapy, others may develop surgical problems such as strictures or obstruction, which may necessitate surgical intervention. Conclusions Abdominal TB should always be considered one of the differential diagnoses of acute or chronic abdomen in endemic areas.

Author(s):  
Dr. Anil Kumar Baxi ◽  
Dr. Vasant Dakwale ◽  
Dr. Namrata Mishra

Tuberculosis is an important cause of morbidity in India. Abdominal Tuberculosis is difficult to diagnose. This prospective observational study is based on those patients who were diagnosed to be suffering from Abdominal Tuberculosis only after they presented with an acute abdomen. This study aims to document the nature of different types of acute presentation in Abdominal Tuberculosis according to concerned clinical presentation & surgical management. The study also discusses the indications and extent of surgical intervention. Keywords: Surgical, Abdominal & Tuberculosis.


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Yvonne O. Buowari

Acute abdomen is an emergency that requires immediate surgical intervention. In developing and low-income countries, there is limited modern drugs and medical equipment and personnel. General anaesthesia is administered for emergency abdominal surgeries. Ketamine is used in hospitals without trained personnel in the administration of anaesthesia. In other hospitals in developing countries with anaesthetist, ketamine is used for induction of anaesthesia and muscle relaxant administered to facilitate endotracheal intubation and maintain anaesthesia with inhalational agents to avoid awareness under anaesthesia.


2019 ◽  
Vol 11 (01) ◽  
pp. 175-177
Author(s):  
Abdulla Alsulaiman

AbstractIdiopathic hypertrophic pachymeningitis (IHP) can resemble other disorders associated with spinal compression. It is a rare inflammatory fibrosing disease of the dura of unidentified etiology and is considered a diagnosis of exclusion. We present a case of idiopathic hypertrophic spinal pachymeningitis occupying a long segment of cervical dura. This is a case of 38-year-old female patient, who suffered progressive neck pain for 2-year duration. Examination revealed spasticity in all four limbs, plus three symmetric reflexes all over, and the sensory level at T4. Magnetic resonance imaging showed spinal cord compression by a thickened anterior and posterior dura adjacent to the cord from C2 to C7. The diagnosis of spinal IHP was confirmed through biopsy. The patient improved after treatment with corticosteroids. Early surgical intervention with postoperative corticosteroid therapy is a known treatment for this disease, as a way to prevent irreversible neurological damage.


2020 ◽  
Vol 05 (04) ◽  
pp. 441-451
Author(s):  
Mohd Javaid ◽  
Abid Haleem ◽  
Abhishek Vaish ◽  
Raju Vaishya ◽  
Karthikeyan P Iyengar

The COVID-19 outbreak has resulted in the manufacturing and service sectors being badly hit globally. Since there are no vaccines or any proven medical treatment available, there is an urgent need to take necessary steps to prevent the spread of this virus. As the virus spreads with human-to-human interaction, lockdown has been declared in many countries, and the public is advised to observe social distancing strictly. Robots can undertake human-like activities and can be gainfully programmed to replace some of the human interactions. Through this paper, we identify and propose the introduction of robots to take up this challenge in the fight against the COVID-19 pandemic. We did a comprehensive review of the literature to identify robots’ possible applications in the management of epidemics and pandemics of this nature. We have reviewed the available literature through the search engines of PubMed, SCOPUS, Google Scholar, and Research Gate. A comprehensive review of the literature identified different types of robots being used in the medical field. We could find several vital applications of robots in the management of the COVID-19 pandemic. No doubt technology comes with a cost. In this paper, we identified how different types of robots are used gainfully to deliver medicine, food, and other essential items to COVID-19 patients who are under quarantine. Therefore, there is extensive scope for customising robots to undertake hazardous and repetitive jobs with precision and reliability.


2007 ◽  
Author(s):  
Steve A. Nida ◽  
Arona R. Muckenfuss ◽  
D. Michelle Turner ◽  
Kipling D. Williams

Author(s):  
Jeetendra P. Sah ◽  
Aaron W. Abrams ◽  
Geetha Chari ◽  
Craig Linden ◽  
Yaacov Anziska

AbstractIn this article, we reported a case of spinal muscular atrophy (SMA) type I noted to have tetraventricular hydrocephalus with Blake's pouch cyst at 8 months of age following intrathecal nusinersen therapy. The association of hydrocephalus with SMA is rarely reported in the literature. Development of hydrocephalus after intrathecal nusinersen therapy is also reported in some cases, but a cause–effect relationship is not yet established. The aim of this study was to describe the clinical characteristics of a patient with SMA type I and hydrocephalus, to review similar cases reported in the literature, and to explore the relationship between nusinersen therapy and development of hydrocephalus. The clinical presentation and radiographic findings of the patient are described and a comprehensive review of the literature was conducted. The adverse effect of communicating hydrocephalus related to nusinersen therapy is being reported and the authors suggest carefully monitoring for features of hydrocephalus developing during the course of nusinersen therapy.


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