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STUDY TO KNOW THE OUTCOME AND CLINICAL PRESENTATION OF ABDOMINAL TUBERCULOSIS

Dr.Muhammad Waqas Aslam, Dr.Muhammad Saleem, Dr.Aurooj Zulfiqar

Abstract: Objective: To investigate the clinical presentations and results of abdominal tuberculosis cases. Study Design: A cross-sectional prospective study. Place and Duration: In the Surgical Unit I of Jinnah Hospital Lahore for one year duration form April 2018 to April 2019. Methodology: 53 patients with abdominal tuberculosis were observed during the study period. 4 subjects were excluded from the follow-up. All patient detailed information was recorded, analyzed and compared, including gender, age, signs, symptoms and management, and compared with international and local data. Results: With abdominal tuberculosis; 50 patients, male were 19 and female were 31. 17 to 63 years was the age range with 25.1 years mean age. 35 cases were accepted by emergency departments and fifteen outpatient departments. The most usual symptom in 44 patients (88%) was abdominal pain, after that 33 patients with vomiting (66%). In 22 patients (44%), abdominal tenderness was noted and in sixteen patients (32%) there was stiffness and other peritonitis. Surgical intervention was done in all of these subjects, in 17 (34%) right hemicolectomy was done, in 12% of cases anastomosis and segmental resection, strictureplasty and ileostomy in 6 (12%) and in 5 (10%) patients and perforation was noted in four (8%) patients. Due to multi-organ insufficiency and septicaemia; 8% was the overall mortality. Conclusion: In neglected cases, abdominal tuberculosis is an important clinical condition with fatal problems. It distresses the earlier age group and in women it is more common. Clinical features are not specific, but low fever, poor health, anorexia and weight loss may be beneficial for the diagnosis. Key words: Abdominal tuberculosis, Intestinal tuberculosis, tuberculous peritonitis, Intestinal obstruction.

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