Small Bowel Tuberculosis: Identifying the Incorrect Statement
This question asks to identify the statement that is incorrect regarding small bowel tuberculosis (TB). We need to evaluate each option based on the known characteristics of the disease.
- Option A: Correct. Small bowel TB is generally classified into two main pathological types: the ulcerative type and the hyperplastic type.
- Option B: Incorrect. This statement claims strictures are common in the ulcerative type. However, strictures, characterized by narrowing of the bowel lumen due to fibrosis and inflammation, are typically more characteristic of the hyperplastic form of small bowel TB, not the ulcerative form. The ulcerative type is more prone to complications like perforation or fistulas.
- Option C: Correct. In cases of ulcerative small bowel TB, especially when associated with peritoneal TB, the serosal surface of the bowel can indeed be observed to be studded with tubercles (small nodules).
- Option D: Correct. The ulcerative pattern of intestinal TB often arises when the infectious agent (Mycobacterium tuberculosis) is highly virulent, overwhelming the host's immune defenses, leading to tissue necrosis and ulceration.
Conclusion on Small Bowel TB Types
Based on the analysis, the statement claiming strictures are common in the ulcerative type is the exception. Strictures are more typically associated with the hyperplastic form of small bowel TB.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
- Among the extra intestinal manifesta- tions of Crohn's disease which one of the following is related to the disease activity?
- A 35 year old male patient with enteric fever presents to the emergency with sudden onset of generalised abdominal pain, abdominal distension, nausea, vomiting and constipation for last 48 hours. On examination, patient is dehydrated with PR = $110/min$ and BP = $100/60$ mm Hg. There is genera- lised tenderness, rebound tenderness present and board like rigidity on per- abdomen examination. The most likely complication of enteric fever in this patient is
- Which of the following are the intraoperative features of viable small bowel?
1. Visible peristalsis
2. Flabby intestinal musculature
3. Shiny appearance of small bowel wall
4. Visible pulsation in the mesenteric artery
Select the correct answer using the code given below.
