ACUTE PRESENTATION AND MANAGEMENT OF ABDOMINAL TUBERCULOSIS AT A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 33
Abstract
BACKGROUND Abdominal Tuberculosis (ABTB) is the most common extrapulmonary site affected by the diseases. Diagnosis of ABTB require a high index of suspicion because of its vague initial clinical presentation and absence of any diagnostic test. This study was conducted to describe the clinicopathological profile and the outcome of the patients with acute tuberculous abdomen presenting to emergency department of our hospital. MATERIALS AND METHODS This was a retrospective study conducted on 164 cases of abdominal tuberculosis presenting as acute abdomen at JN Medical College and Hospital, AMU, Aligarh, from January 2013-December 2015. RESULTS In this study, females (90) outnumbered males (74) with female-to-male ratio of 1.2:1. Most common clinical presentation was intestinal obstruction (n=113, 69%) subacute- 68 (41.5%); acute- 45 (27.4%). The disease mostly involved the ileum (53.8%), then ileocaecal region, jejunum, colon and pylorus. Intestinal perforation (33.8%) was most common primary operative finding and closure of perforation with proximal ileostomy was the most common surgical procedure done. The overall complication rate was 33.5% with pulmonary complications being most common (38.8%). The overall mortality rate was 9.8% among surgically-treated patients. CONCLUSION Acute presentation of abdominal tuberculosis was predominantly seen in younger population (3rd decade) especially among females. Intestinal obstruction was the most common emergency presentation of the disease and the disease in its acute form had a very high morbidity and mortality.
Authors and Affiliations
Wasif Mohammad Ali, Meraj Ahmed, Atia Zaka-Ur Rab, Sayyed Amjad Ali Rizvi, Rahil Rafiq, Sayyed Shamayal Rabbani
Keywords
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- EP ID EP218697
- DOI 10.18410/jebmh/2017/379
- Views 81
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