Abdominal tuberculosis indicates tubercular involvement of gut, abdominal lymph nodes, peritoneum, either individually or in various combinations.
Routes of spread
Haematogenous spread from the primary lung focus in childhood, with later reactivation Ingestion of bacilli in sputum from active pulmonary focus.
Multiple superficial ulcers largely confined to the epithelial surface of the ileocaecal area.
Involvement of mesenteric lymph nodes.
Chest X-ray.May show evidence of active or old tubercular lesion.
Plain X-ray of abdomen.
Contrast-enhanced CT scan.
Ascitic fluid examination.
Anti-tubercular treatment similar to treatment of pulmonary tuberculosis.