Observation of Abdominal Tuberculosis
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Abdominal tuberculosis is a disease which can affect any organ. Primary site of tuberculosis is usually lung but abdominal tuberculosis cases are on the rise. Abdominal tuberculosis cases are difficult to diagnose because, it mimic acute abdomen due to bowel obstruction, perforation, mass abdomen and such diseases. The present observational study was carried out with the aim to evaluate the various clinical presentation, its incidence, diagnosis and various methods of management. Material and methods: An observational study was done on 50 patients of abdominal tuberculosis in RIMS, Ranchi, Jharkhand. Patients were selected on the basis of signs and symptoms, clinical suspicion, routine and special investigations and confirmation by histopathological examination. Results: A total of 50 patients were managed during the study period. The mean age of patients were 32.8 years and male to female ratio was 1:2. Sixteen patients (32%) had single to multiple strictures involving distal ileum followed by ileocaecal mass (26%). Eleven patients (22%) were observed with mesenteric lymphadenopathy. Three patients (6%) were observed with tuberculous perforation. Postoperative complications were mild in all patients except in 10 patients (20%) where serious complications like anastomotic leak and sepsis was observed. Overall mortality was observed in 5 patients (10%). Conclusion: Patients who present with bowel obstruction especially sub-acute or chronic, should have complete workup to prove or rule out intestinal tuberculosis. The aim of surgery in case of abdominal tuberculosis is to overcome the deleterious effects of the diseased tissue disorganization, obstruction and perforation. Conservative approach in performing resection with or without anastomosis is more logical and rational procedure for abdominal tuberculosis.
Authors and Affiliations
Anil Kumar Kamal, Samir Toppo, Javed Akhtar Hussain, Vinay Pratap, Shiva Thakur, Vishal Kashyap
Keywords
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