‘STUDY OF CLINICAL PROFILE OF ABDOMINAL TUBERCULOSIS WITH SELECTED CASES OF SURGICAL INTERVENTION’
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 19
Abstract
[b] BACKGROUND[/b]: Recent reports have suggested increased in incidence of abdominal tuberculosis (TB) worldwide, particularly in high risk groups, especially in developing countries. OBJECTIVES: The aim of this study is to review clinical spectrum of abdominal TB and surgical management of its complications. [b]METHODS[/b]: The prospective review of all histopathologically proven cases of abdominal TB notified to our institution requiring surgical intervention during 2 year period. [b]RESULTS[/b]: There were 28 patients with abdominal TB. Maximum incidence was found in 11-30 years (57%) with a median age of 30.14 (4-66) years and male to female ratio of 1:1.33. Pain being most common symptom (96%) while abdominal tenderness and anemia were the most common signs. None of the patient was HIV positive. Active pulmonary TB was present in 25% cases. Major complications of abdominal TB were intestinal obstruction (60%) and perforation peritonitis (21%). All 28 patients underwent surgery with 24 patients undergoing on an emergency basis and rest 4 electively. Mesenteric lymphadenopathy was present in 14 patients, 10 had strictures and underwent small bowel resection, isolated biopsy was done in 3, adhesiolysis was done in 5 and 5 had stricturoplasty. Right hemicolectomy, ileotransverse bypass, localized ileocecal resection, sigmoid colectomy were done in one patient each. AKT was given postoperatively to all patients. Morbidity rate was 32% and mortality rate was 17.86%. 21 patients recovered completely and 2 were lost in follow up. [b]CONCLUSION[/b]: Abdominal tuberculosis affects young adults with female preponderance of low socioeconomic status, presenting as acute illness when complications develops otherwise it remains silent. With proper chemotherapeutic drugs and timely correct surgery for complications and supportive treatment the morbidity and mortality of abdominal tuberculosis can be reduced significantly.
Authors and Affiliations
Atish Bansod, Vikram Desai, Tarush Gupta
Keywords
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- EP ID EP111846
- DOI 10.14260/jemds/696
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