All Title Author
Keywords Abstract


INTESTINAL TUBERCULOSIS; DIAGNOSTIC DILEMMA

Keywords: Abd. Kock’s , Eliza , PCR , , Laproscopy

Full-Text   Cite this paper   Add to My Lib

Abstract:

To find out the effective diagnostic algorithm (clinical features and investigations) for intestinal tuberculosis. Design:A retrospective study. Place and Duration of Study: B.V. Hospital Bahawalpur, June 2007 -2009. Patients and Methods: 100 cases ofdiagnosed abdominal tuberculosis were included in the study. Demographic variables, symptomology, investigations and management detailwere recorded from the hospital record of surgical department of B.V. Hospital Bahawalpur. Results: Out of 100 diagnosed cases of intestinalT.B, 55 patients were male. 62 patients were bellow 30 years. Most Common presentation was obstruction (29 %), peritonitis (18%) Abdominaldistention (20%) and Abdominal Mass (15%), Histopathology (97%) and laparoscopy (82%) were most sensitive. Operative procedure wereright Hemicolectomy (26%), resection Anastomosis (23%), stricturoplasty (13%0, Ileostomy (9%), adhesiolysis (17%). Conservativelymanaged patients on anti-tuberculous therapy (ATT) were (12%). Wound infection and dehiscence (12%) were the common complications.Four patients died. Conclusions: All patients with prolonged history of weight loss, vague health and non specific abdominal symptoms andthose who are under consideration for intestinal tuberculosis should follow the protocol comprising histopathology (laparoscopic/ USG guided /open), complemented by the diagnostic laparoscopy and radiological studies.

Full-Text

comments powered by Disqus