A Surgical Experience of Managing Abdominal Tuberculosis – What’s New
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Abdominal Tuberculosisin all its grandeur still rules the roost in third world countries like ours. Themainobjectiveofthis studywastoidentify the changes that may have occurred over time in the presentation and treatment of this disease. Material and method: This was a prospective study on40patientsadmittedfromOctober2014toSeptember2015in the surgery wards of our institution. Only thosepatients in whom abdominal tuberculosis was confirmed by imaging or histopathology were included in this study. A meticulous record of thedemography,presentation, investigations and treatment was maintained in a previously prepared proforma for this purpose. All relevant data was analyzed using SPSS software version 17. Results: 24(60%) patients were males and 16(40%) were females with ages ranging from 11-60 years. All patients belonged to a low socioeconomic group. 14(35%) patients presented in the emergency as complete intestinal obstruction, six(15%) had incomplete bowel obstruction and four(10%) presented with bowel perforation, all diagnosed on plain x-ray abdomen. The rest 16(40%) patients were diagnosed on abdominal ultrasonographic findings of ascites, ileocaecal mass /abscess, thickened terminal ileum. Only eight(20%) required CECT for further clarification. 12(30%) of all patients were treated conservatively. Adhesiolysis in eight(20%) was the commonest surgical procedure performed. Conclusion: Abdominaltuberculosis in our region should always be considered in patients presenting with small bowel obstruction, or chronic ascites of unknown etiology. Antitubercular treatment 2 (HRZE) /4(HR)for a minimum of 6 months is all that is required in most patients.
Authors and Affiliations
Sharad Seth, Keshav Agrawal
Keywords
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