Abdominal Tuberculosis: A Clinicopathologic Study in Medical College Hospital Bikaner Rajasthan
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Background: Tuberculosis is a major health hazard in India. Because of its diverse manifestations, difficult diagnosis, widespread complications, prolonged morbidity and increased mortality the study of this disease becomes even more important. Methods: This study was carried out in 50 patients of abdominal tuberculosis of different age group and sex admitted in Department of Surgery, PBM Hospital, S.P. Medical College, Bikaner, during the period from 2015 to 2016. The patients of abdominal tuberculosis fell into two broad categories - those presenting with acute/sub-acute intestinal obstruction and those without obstruction. All patients were worked up with the elicitation of proper history, clinical examination, laboratory investigation, etc. The diagnosis was confirmed by IgM ELISA for tuberculosis, peritoneocentesis, FNAC, laparotomy and biopsy of the specimen obtained at the time of surgery. Results: Maximum incidence of abdominal tuberculosis was noted in third and fourth decades followed by second decade of life. Males constituted 60% and females constituted 40% of total patients. Abdominal pain, anorexia, weight loss, weakness, vomiting and constipation were the main presenting symptoms. IgM ELISA for tuberculosis was positive in 40 patients (80.00%). Surgical intervention was required in 36% of the patients. Conclusions: Good clinicopathological workup in patients of abdominal tuberculosis results in earlier diagnosis and timely management of this curable disease. Keywords: Abdominal tuberculosis, Clinicopathologic study, Workup.
Authors and Affiliations
Dr. Deepak Meena
Keywords
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