Question
The following statements regarding small bowel tuberculosis are correct except
The correct answer is
The strictures are common in the ulcerative type
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.
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Important Questions from Intestines
- A 22-year female has presented with a history of malaise, cough, alternating constipation and diarrhoea with intermittent abdominal pain for last 6 months. She also complains of abdominal distension for last 2 days. On examination her abdomen has a doughy feel along with an ill defined mass over the right lower quadrant. She is most likely suffering from:
- Gentleman of 56 years underwent laparoscopic left hemicolectomy for diagnosed left colonic carcinoma. Histopathology revealed the tumour to be invading submucosa and muscularis propria. Among the 16 regional lymph nodes harvested, 2 were positive for malignant deposits.
His staging as per AJCC will be: - A 40 year old female patient presents with colicky abdominal pain associated with episodes of mild diarrhoea for last 6 months accompanied with intermittent fever and weight loss. There are multiple discharging sinuses on perineal examination. The most likely clinical diagnosis in this patient is:
- 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 :
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