Volume : VII, Issue : IV, April - 2018
Abdominal tuberculosis: Clinical profile and management in 45 cases in a tertiary care center.
Dr. Gagan Deep Mishra, Dr. Bhuvan
Abstract :
Objective: To document the clinical profile and outcome of different surgical procedures in patients with abdominal tuberculosis in a tertiary care
setup.
Methods: This prospective consecutive case series was undertaken at the department of general surgery, Government medical college and its
associated Dr. Susheela Tiwari Memorial Government Hospital Haldwani Nainital Uttarakhand between August 2011 and September 2013. All
patients of either gender who presented with Abdominal Tuberculosis were managed during the study period were included.
Results: Total 45 patients with Abdominal Tuberculosis who were part of the study 20 (44.4%) were males and 25 (55.6%) females. The mean age
was 28.44±12.17 years. Majority of the patients 35(77.77%) belonged to poor socio–economic families. Family history of Tuberculosis was found
in 10 (15.55%) patients. Most of the patients were managed conservatively (64.44%) while remaining patients (35.56%) needed surgical
intervention in one form or other. Out of 45, 44 patient (97.77%) presented with pain in abdomen; strictures were most common operative/
laparoscopic findings (n=18) 40%; the patients needing hospitalization were 26 (57.77%) with the mean stay being 19.55±4.51 days. The hospital
mortality was 5 (11.11%).
Conclusion: Abdominal Tuberculosis was found prevalent in the population and predominantly affected the patients in their 2nd to 4th decade with
slight female preponderance in low socioeconomic status. Majority of the patients presented with the complaints like pain in abdomen, altered
bowel habits, vomiting, evening rise of temperature and weight loss. In acute setting the patients presented with complications like acute intestinal
obstruction, intestinal perforation, peritonitis needing emergency laparotomy.
Keywords :
Article:
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DOI : 10.36106/ijsr
Cite This Article:
DR. GAGAN DEEP MISHRA, Dr. BHUVAN, Abdominal tuberculosis: Clinical profile and management in 45 cases in a tertiary care center., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
Number of Downloads : 257
References :
DR. GAGAN DEEP MISHRA, Dr. BHUVAN, Abdominal tuberculosis: Clinical profile and management in 45 cases in a tertiary care center., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
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