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STUDY TO KNOW THE EFFECTIVENESS OF THE TREATMENT OF ABDOMINAL TUBERCULOSIS AND ITS DIAGNOSIS BY DIFFERENT DIAGNOSTIC APPROACHES

Dr Khadija Aftab, Dr Hafiz Humayun Rasool, Dr Haleema Anwar

Abstract: Objective: To record the experience of observational study on abdominal tuberculosis and to emphasize different diagnostic modalities and the outcome of treatment. Study plan: A retrospective descriptive study. Configuration and duration: In the Surgery Department Unit I Jinnah Hospital, Lahore for two years from December 2016 to December 2018. Methodology: This retrospective study was performed in patients with diagnostic TB for 2 years. Patients with prolonged abdominal pain and associated symptoms were included. The final histopathology was diagnosed and TB was started. Results: There were 11 females and 5 males; the mean age was 38.7. Abdominal pain (100%) and ascites (56%) were the most common clinical features. Laparoscopy was diagnostic in 6 patients. Histology confirmed tuberculosis in all patients. All had a satisfactory response to anti-tuberculosis treatment in 3 patients who died due to associated diseases and pulmonary embolism. Conclusion: clinical presentation was not specific; therefore, a high clinical suspicion index is required. Laparoscopy is the most diagnostic method with guided biopsy. Anti-tuberculosis treatment was effective. Keywords: Tuberculous Peritonitis, Abdominal Tuberculosis, Laparoscopy, Ultrasound.

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