Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Abdominal tuberculosis constitutes of 10% of extrapulmonary tuberculosis. Most common site is ileocecal region. Abdominal tuberculosis has diagnostic dilemma due to diverse and non specific clinical presentation. Analyse various clinical presentation and investigation modalities and clinical outcome in abdominal tuberculosis and To analyse role of surgery in managing abdominal tuberculosis. Retrospective study conducted from March‐March 2014‐2017 in MS Ramaiah hospital Bangalore. Thirty three patients with abdominal tuberculosis was included in the study. Clinical features with respect to demographic data, various clinical presentation and various investigations were recorded. The surgical indications and various surgeries performed were assessed. The clinical outcome in terms of morbidity and mortality were analysed. Intestinal tuberculosis followed by peritoneal tuberculosis is most common presentations. Most common symptoms were abdominal pain > abdominal distension. Overall patients were diagnosed by biopsy material from laparotomy/diagnostic laparoscopy were 48.48% and 33.33% from colonoscopic biopsy. All patients taken antitubercular drugs. Surgical intervention done in 48.48% patients in that 62.5% underwent laparotomy (60% laparotomy+adhesiolysis+biopsy, 30% laparotomy+hemicolectomy, 10% laparotomy+ resection of small bowel and anastomosis) and 37.5% underwent diagnostic laparoscopy and biopsy. Six percentage patient had ennterocutaneous fistula and 12.12% had wound infection. Extra vigilance in dealing with patients who present with unexplained abdominal conditions is the key to the diagnosis of abdominal tuberculosis. Early diagnosis, early antituberculous therapy and surgical treatment of the associated complications are essential for the survival of the patient. Abdominal tuberculosis, Mycobacterium tuberculosis, tuberculous peritonitis, intestinal tuberculosis.
How to cite this article:
Manjunath Irappa Wali, K. Anupama Pujar, A. Sreekar Pai and S. Sampreeta Reddy. Analysis Role of Surgery in Management of Abdominal Tuberculosis.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.194.198
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.194.198