Clinical Profile and Surgical Outcome of Abdominal Tuberculosis –A Retrospective Analysis
Journal Title: International Journal of Medical and Health Sciences - Year 2013, Vol 2, Issue 4
Abstract
Background and objectives: Tuberculosis can present in varied forms and clinical manifestations. The primary objective of this study was to understand the clinical profile, demography, presentations and complications of abdominal tuberculosis and review the literature regarding its surgical management, in our institution. Materials and methods: 50 cases of abdominal tuberculosis admitted from January 2011 to December 2012 in Shimoga Institute of Medical Sciences (SIMS)were included in the study group. All the cases were analysed in terms of epidemiology, clinical features, baseline and confirmative investigations, operative treatment, conservative and various surgical procedures employed. Results: The age group mainly affected in our study was found to be in 20-40 years range (55% cases). 46 patients were from the lower socioeconomic group. Out of total surgeries performed 43% were emergency and rest were elective operations.8 patients were tested positive for retrovirus. Obstruction was most common complication followed by malnutrition. Resection and anastomosis was done in 34.7% of cases. Ileotransverse bypass done in 32.6 % cases and stricturoplasty and release of adhesive bands performed in equal percentage (8.6%) of cases. Biopsy and closure carried out in 10% cases. In our study, 2 patients died of anastomotic leak and one developed faecal fistula after ileotransverse bypass procedure. Conclusions: Abdominal TB always forms part of differential diagnosis in any chronic pain abdomen with or without mass, especially in low income, poorly nourished females in young and middle age groups coming from unhygienic background. Bypass procedures have been largely replaced by limited resections with good results and also stricturoplasty for ileal lesions is the order of today.
Authors and Affiliations
Mohammed Arif, Santosh V, Akarsh. S. Rajput
Keywords
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