Abdominal Tuberculosis With Different Management Modalities in Smt Shardaben General Hospital Saraspur Ahmedabad

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (103) Last page: (115)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Abdominal Tuberculosis With Different Management Modalities in Smt Shardaben General Hospital Saraspur Ahmedabad
Deepak Vora1, Vivek Detroja2, Sagar Sarvaiya3,Tirth Shah4,Shubham Patel5
1Associate professor of surgery, 2-4Resident doctor of surgery, Department of Surgery Shardaben General Hospital ,Saraspur, Ahmedabad
Corresponding author email id:

Online Published on 02-Jan-2020

ABSTRACT

Background: Tuberculosis is a major health hazard in India. Because of its diverse manifestation ,difcult diagnosis, widespreadcomplication ,prolonged morbidity and increased mortality the study of this disease becomes even more important .The objectives of the study were to study age and sex distribution of abdominal tuberculosis ,to study the association of abdominal tuberculosis with pulmonary tuberculosis ,various clinical presentation of abdominal tuberculosis ,to study surgical management of abdominal tuberculosis.Methods: The study was carried out in 30 patients of abdominal tuberculosis of diferent age group and sex admitted in department of surgery , Smt SCL hospital , Saraspur , Ahmedabad during period of April 2018 to march 2019.This is the prospective study in which patients are present with acute abdomen like intestinal obstruction ,peritonitis ,RIF lump taken ,further investigated and laparotomies were performed and AKT started after proven by biopsy reports.RESULTS: In my study most common age group afected is between 2nd to 4th decade and gender wise male are more afected then female., Most common symptom of presentation is abdominal pain mostly at RIF and periumbilical region associated with anorexia and vomiting and abdominal distension .Out of 30 patients 19 patients had pulmonary tuberculosis and patient had completed course of AKT.CONCLUSION: In all 30 patients present as acute abdomen. Patients present with peritonitis were explored in emergency and other patients initially conservatively managed after all radiological investigations on patients were explored ,Biopsy reports were collected and after confrmation of tuberculosis AKT(ISONIAZID,RIFAMPICIN,PYRAZINEMIDE,ETHAMBUTOL and STRPTOMYCIN,LEVOFLOXACIN.) started .Good clinic pathological workup in patients of abdominal tuberculosis results in earlier diagnosis and timely management of this curable disease.

Keywords

 tuberculosis , Anti Koch’s treatment, surgery .