A study of 150 cases of intraperitoneal tuberculosis
Journal Title: International Journal of Medical Science and Public Health - Year 2016, Vol 5, Issue 3
Abstract
Background: Tuberculosis caused by Mycobacterium tuberculosis is a disease of great antiquity and for a long time it has maintained its evil reputation and being one of the greatest killer diseases of mankind. The symptom of intraperitoneal tuberculosis is generally vague and nonspecific. It may mimic any intra-abdominal disease and can challenge the diag - nostic skills. Tuberculosis of the ileocecal region ranks first in the incidence among intestinal/intraperitoneal tuberculosis. Objective: To know the various modes of presentation; different modalities of diagnosis with special reference to role of laparoscopes and treatment and prognosis in our setup, which helps in better management of these cases thus helping to improve prognosis. Materials and Methods: This is a clinical study of 150 cases of intraperitoneal tuberculosis admitted to Civil Hospital, Ahmedabad in the year 2006–2009. This study included selection of patient with intraperitoneal tuberculosis on a prospective basis. Result: Of 150 patients in our study, majority of the patients fall within the middle age group. Ascites and bowel distur- bances are the most common symptoms. All patients were either given anti-Koch’s treatment (AKT) only or given AKT along with the surgery (before or after). Majority of the patients who responded to AKT alone were those with pure ascitic forms of tuberculosis. Patients treated with primary surgery included those who presented in the emergency and with complications of surgery or with significant obstructive symptoms. Majority undergo the knife in the form of either right hemicolectomy/ileo-ascending anastomosis or resection and anastomosis of the small intestine for intestinal stricture. Mortalities were 12% in this study, most of the patients who died were coming late stage with septicemia, perforation, peritonitis and associated pneumonia, and respiratory failure. Conclusion: Majority of the patients who required surgery were diagnosed as intraperitoneal tuberculosis primarily or after given primary AKT trial. All the patients must be given AKT full course as per directly observed treatment short-course under Revised National Tuberculosis Control program to cure the disease.
Authors and Affiliations
Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan
Keywords
Related Articles
- EP ID EP133361
- DOI 10.5455/ijmsph.2016.22102015209
- Views 96
- Downloads 0
[RETRACTED ARTICLE] Post-traumatic flexion contractures of the elbow release via limited lateral approach
Background: Varying surgical techniques, patient groups and results have been described regards the surgical treatment of post traumatic flexion contracture of the elbow. Aims & Objective: We present our expe...
Prevalence of hepatitis B, hepatitis C and human immunodeficiency virus infection among hemodialysis patients in a tertiary health care center of Western Rajasthan
Background: Infections such as viral hepatitis (both B and C) and human immunodeficiency virus (HIV) have major role in morbidity and mortality in hemodialysis (HD) patients. It is important to know the prevalence of the...
Quality of life of patients with chronic obstructive pulmonary disease in Chitwan, Nepal: a pilot study report
Background: Chronic obstructive pulmonary disease is a major cause of morbidity and mortality worldwide and has a significant impact on an individual’s quality of life. Objective: To assess the quality of life of...
Retrospective histological analysis of CNS tumors – A 5 year study
Background: Cancers of the central nervous system (CNS) are considered to be among the most notorious of all cancers. The brain and spinal cord are complex & delicate organs that control the higher functions,...
Study of body mass index in first year MBBS students in a medical college of Eastern UP
Background: Overweight and obesity are recognized as “escalating epidemics” affecting both developed and developing countries. Obesity is associated with a large number of debilitating and life-threatening disorders such...