Tushar Padvi, Mittal Gaykavad, Jignesh Shah

A CLINICAL STUDY OF VARIOUS PRESENTATIONS OF ABDOMINAL TUBERCULOSIS, EVALUATION AND MANAGEMENT

  • Ocean Engineering
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Earth and Planetary Sciences
  • General Environmental Science
  • Industrial and Manufacturing Engineering
  • General Business, Management and Accounting
  • Materials Science (miscellaneous)
  • Business and International Management
  • Organic Chemistry
  • Biochemistry
  • General Engineering
  • General Engineering
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Introduction: Abdominal tuberculosis includes tuberculous infection of gastrointestinal tract, mesentery, lymph nodes and omentum, peritoneum and solid organs like liver and spleen. The initial clinical presentations are nonspecific and no single laboratory investigation is pathognomonic. Abdominal tuberculosis with an acute abdomen presents as an enormous challenge to the surgeon. This is a two-year retrospective observational study of 30 Materials And Methods: Patients who presented with abdominal tuberculosis at the department of General surgery, New Civil Hospital and Government Medical college Surat from June 2019 to December 2021 were selected. The relevant clinical information (history & examination), laboratory results (ESR &CBNAAT), microbiological and radiological (CECT abdomen) investigations were recorded. Histopathological examination of all the resected / excised specimens was done. Results: Out of 30 Patients with Abdominal Tuberculosis, the average age of the participants was 30.7 years with a slight male predominance (Male: Female =2.75:1). Abdominal pain (90%) was the most common presenting symptom followed by vomiting (46.66%) and fever (36.66%). The Mesenteric lymph node is the most commonly affected site of involvement. The commonest operative findings adhesion of bowel (26.6%), followed by tubercle over peritoneum / bowel (20.0%), perforations (13.33%) stricture. All the 15 resected / excised tissue specimens (7 cases of intestinal resection and 8 cases of intestinal, omental and lymph nodes biopsies) showed epithelioid granulomas. All patients were put on anti-tubercular treatment and majority showed good response to therapy. Abdominal tuberculos Conclusion: is is a major public health concern. Vague symptoms lead to diagnostic delay. A high index of suspicion, proper evaluation and therapeutic trial in suspected patients is essential for an early diagnosis, in order to minimize complications.

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