Table of Contents

2017 Month : August Volume : 4 Issue : 62 Page : 3735-3738

SURGICAL APPROACH TO ABDOMINAL TUBERCULOSIS

Somashekhar Virupakshyya Hiremath1, Shahajahan Chimansab Nadaf2

Corresponding Author:
Dr. Shahajahan Chimansab Nadaf,
No. 10, Rajnagar, Hubbali-580032,
E-mail: nadaf_shahajahan@@yahoo.com
DOI: 10.18410/jebmh/2017/746

ABSTRACT
BACKGROUND
Tuberculosis is one of the common diseases in developing countries, extrapulmonary tuberculosis is common in gastrointestinal system. Surgical intervention is required along with chemotherapy, ultrasonography and tissue biopsy of available tools to diagnose the abdominal tuberculosis. Surgical approach is mandatory when complication of abdominal tuberculosis present. This study is done to overcome the complications of abdominal tuberculosis and its management.

The aim of the study is to-
a)    Evaluate the incidence of the disease with regard to age, sex and socioeconomic status.
b)    Evaluate the different modes of presentation and its clinical features.
c)    Evaluate different varieties of abdominal tuberculosis.
d)    Evaluate role of investigation, procedure to diagnose the abdominal tuberculosis.
e)    Evaluate the different modalities of treatment to the different presentation of abdominal tuberculosis.

MATERIALS AND METHODS
Cases of abdominal tuberculosis admitted in KIMS, Karwar, a tertiary care government hospital from January 2014 to December 2015 have been taken for the study. A total of 100 cases taken off for the study.

RESULTS
63% of the cases presented with adhesive variety of peritoneal tuberculosis present with cocooning. On suspension of tuberculosis, laparotomy was done. Peroperatively, there was multiple tubercular adhesions and were adherent to abdominal wall, few cases were suspicion of the appendicular mass, mesenteric lymph node enlargement with multiple tuberculous, mesenteric lymph nodes were seen and ATT put on tissue diagnosis cases.

CONCLUSION
In our study, 100 cases were analysed for the clinical study of abdominal tuberculosis admitted in our hospital. Out of 100 patients, 54 were treated conservatively and 46 patients were treated by surgical intervention. In our study, preponderance of female population age group between 20 to 40 years of low socioeconomic status and most of them are from rural areas. Majority of patients presented with subacute intestinal obstruction and ascitic form. Coexistences of pulmonary tuberculosis were presented in 19 patients out of 100 cases.

KEYWORDS
Abdominal Tuberculosis, Surgical Intervention for Obstruction of Gastrointestinal Duct, Minimal Resection, Conservative Treatment with ATT.

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