Clinical study on abdominal tuberculosis and its emergencies

Ashok Kumar, B (2014) Clinical study on abdominal tuberculosis and its emergencies. Masters thesis, Kilpauk Medical College, Chennai.


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BACKGROUND AND OBJECTIVES: Abdominal tuberculosis is sixth most common type of extra pulmonary tuberculosis. Abdominal tuberculosis denotes tuberculosis infection of gastrointestinal tract, peritoneum, lymph nodes, and solid organs i.e. spleen, liver, and pancreas. The diagnosis is usually delayed due to non specific symptoms and signs. The clinical study of abdominal tuberculosis was conducted with the aim to evaluate the incidence of abdominal tuberculosis, various sites of presentation, incidence of surgical emergencies due to abdominal tuberculosis. MATERIALS AND METHODS: The study was conducted in the Department of General surgery in Government Kilpauk medical college Hospital and Government Royapettah Hospital between July 2011-June 2013. 50 patients were included in the study. Data were collected from all patients. Patient’s age and sex were noted. Detailed history was obtained. Thorough clinical examination was performed. Every patient had chest x-ray and abdominal x-ray. CT abdomen was performed in inconclusive cases. Tissue diagnosis by histopathological examination had proven positive for all patients. The details of all the patients were collected and analyzed. RESULTS: Abdominal tuberculosis mostly occurred in the middle age group (21- 40 years). The most common presenting symptoms are abdominal pain and abdominal tenderness is the most common sign elicited. Ileocaecal region is the most commonly affected region in the abdominal tuberculosis. About 26% of patients had associated pulmonary tuberculosis.Surgery is usually indicated in patients with complications of abdominal tuberculosis. The most common surgical emergency is intestinal obstruction due to either ileocaecal mass or stricture followed by perforation. Limited bowel resection and anastomosis was mostly commonly performed surgery in abdominal tuberculosis followed by adhesiolysis and band release is the most common procedure performed. All the patients are started on anti tuberculous therapy. Anti- tubercular treatment still forms the mainstay of treatment. All patients started on category I anti tubercular treatment.

Item Type: Thesis (Masters)
Uncontrolled Keywords: abdominal tuberculosis ; abdominal pain ; intestinal obstruction ; limited bowel resection and anastomosis.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 24 Jun 2018 17:51
Last Modified: 24 Jun 2018 17:51

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