Dr Ashish Gupta


Tuberculosis(TB) is an infectious disease with high morbidity and mortality. Its incidence is on rise since the incidence of human immunodeficiency virus infection has increased. Ileocaecal tuberculosis is the commonest form of the gastrointestinal TB. Primary appendicular TB is a rare pathology. It is essentially a histopathological surprise. Subjecting every appendix for biopsy should help the treating physician to establish the diagnosis. The literature on appendicular TB is limited to few case reports. This article is intended to provide the etiopathogenesis, clinical features,diagnosis and treatment of this rare entity after reviewing the available literature.


Appendix, tuberculosis, antitubercular treatment

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World Health Organization. Global tuberculosis report 2015. World Health Organization; 2015.

Albalak R, O’Brien RJ, Kammerer JS, et al. Trends in tuberculosis/human immunodeficiency virus comorbidity, United States, 1993- 2004. Archives of internal medicine. 2007;167(22):2443-52.

Gupta A.; Splenic tuberculosis : a comprehensive review of literature; Pol PrzeglChir 2018: 90 (5):37- 41

Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. The American journal of gastroenterology. 1998 ;93(5):692-6.

Debi U, Ravisankar V, Prasad KK,etal.Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol. 2014;20(40):14831-40

Singh MK, Kapoor VK. Tuberculosis of the appendix--a report of 17 cases and a suggested aetiopathological classification. Postgraduate medical journal. 1987;63(744):855-7.

Chiș B, Dudric V, Fodor D. Tuberculous appendicitis. A case report. Medical ultrasonography. 2017 May 3;19(3):333-5.

Shah RC, Mehta KN, Jalunhwala JM: Tuberculosis of the appendix.JInd Med Assoc 1967, 49:138-140.

Akbulut S, Yagmur Y, BakirS,et al. Appendicular tuberculosis: review of 155 published cases and a report of two cases. European Journal of Trauma and Emergency Surgery. 2010 Dec 1;36(6):579-85.

Pujari BD,JayaramiahM,Deodhar SG. Tubercular appendicitis. J Assoc Physicians India 1981, 29:1025-1028.

Kuntanapreeda K. Tuberculous appendicitis presenting with lower gastrointestinal hemorrhage--a case report and review of the literature. Medical journal of the Medical Association of Thailand. 2008;91(6):937.

Elamurugan TP, Sivashanker M, Kumar SS, et al. Primary tuberculous appendicitis presented with caecal perforation: a case report. Asian Pacific journal of tropical medicine. 2012;5(10):834-6.

Pandey V, Gangopadhyay AN, Sharma SP,et al. Appendicular tuberculosis presenting as enterocutaneous fistula over thigh—A rare case report with review of literature. Journal of Tuberculosis Research. 2013;1(03):37.

Warwick M. Tuberculosis of the appendix. Annals of surgery. 1920;71(2):139.

Chugh SN, Jain VI. Abdominal Tuberculosis—Current Concepts in Diagnosis and Management. Association of Physician of India. 2007:601-8.

Suri R, Gupta S, Gupta SK, et al. Ultrasound guided fine needle aspiration cytology in abdominal tuberculosis. The British journal of radiology.1998;71(847):723-7.

TesfamariamSengal A, AbdallaMohamedani A, Hussein HH, et al. The Role of PCR in Diagnosis of a Rare Appendicular Tuberculosis and Mini Literature Review. Case reports in gastrointestinal medicine. 2016;2016.

Fukunaga H, Murakami T, Gondo T, et al. Sensitivity of acid-fast staining for Mycobacterium tuberculosis in formalin-fixed tissue. American journal of respiratory and critical care medicine. 2002;166(7):994-7.

Gupta A, Gupta A Anjum R, et al. A comprehensive review on Primary gallbladder tuberculosis. Polskiprzegladchirurgiczny. 2018 ;90(2):10-2.


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