Prospective study of emergency presentation of abdominal tuberculosis
Background: In developing countries like India, where poverty, malnutrition and overcrowding prevail, tuberculosis continues to be one of the important causes of morbidity, mortality and loss of working man hours. Abdominal tuberculosis (TB) can affect the gastrointestinal tract, the peritone...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BKL Walawalkar Rural Medical College & Hospital
2016-08-01
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| Series: | Walawalkar International Medical Journal |
| Subjects: | |
| Online Access: | http://www.wimjournal.com/html/journal/images/3a3.pdf |
| _version_ | 1818505060779294720 |
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| author | Akhilesh R. Mishra Dipak D. Thorat V. M. Deshmukh |
| author_facet | Akhilesh R. Mishra Dipak D. Thorat V. M. Deshmukh |
| author_sort | Akhilesh R. Mishra |
| collection | DOAJ |
| description | Background:
In developing countries like India, where
poverty, malnutrition and overcrowding
prevail, tuberculosis continues to be one of the
important causes of morbidity, mortality and
loss of working man hours. Abdominal
tuberculosis (TB) can affect the
gastrointestinal tract, the peritoneum, lymph
nodes of the small bowel mesentery or the
solid viscera (e.g. liver, spleen, pancreas etc)
Patient of abdominal Koch’s can present as
those with a chronic undulating course and
those with an acute or subacute abdominal
catastrophe. In emergency the patient may
present with various presentations like
stricture causing obstruction or with
perforation and require a different
management from those routine such cases
Aim and Objective:
To study the varied presentation of patients
with Abdominal Tuberculosis as acute
surgical abdomen presenting in emergency
setting to those with a subacute course.
To evaluate the line of management whether
operative or conservative, the operative details, post operative course and the final
outcome of the disease.
To study the incidence of HIV positivity in
patients with abdominal tuberculosis.
Methods and material:
The study was designed as a prospective
observational study conducted during a study
period between June 2006 and June 2008 in a
tertiary care centre in Mumbai. All patients
with a clinical suspicion of abdominal
tuberculosis were included in the study with
confirmation on histopathological
examination. Patient’s written informed valid
consent was taken after explaining the nature
of study.
Result and Conclusion:
Age group commonly affected was
between 21-30 years with male predominance.
Amongst the various complications of
abdominal tuberculosis intestinal obstruction
was the most common mainly due to stricture
and less commonly due to hyperplastic
ileocaecal mass. Next common complication
observed was free perforation of the intestine
which occurs at a site proximal to a tight
stricture. All patients were subjected to operative intervention with local resection and
anastomosis being the most preferred surgery
performed. Terminal ileum and ileocaecal
region was the most common site involved.
The incidence of HIV positivity was 11 per
cent. The incidence of mortality was 11 per
cent. Sepsis was the main cause of mortality in
all the cases. Duration of stay ranged from 2 to
60 days. A prolonged stay was seen in patients
who developed post operative complications. |
| first_indexed | 2024-12-10T21:45:36Z |
| format | Article |
| id | doaj.art-5a89165e61a14bf192747631f2f4edcf |
| institution | Directory Open Access Journal |
| issn | 2349-2910 2395-0684 |
| language | English |
| last_indexed | 2024-12-10T21:45:36Z |
| publishDate | 2016-08-01 |
| publisher | BKL Walawalkar Rural Medical College & Hospital |
| record_format | Article |
| series | Walawalkar International Medical Journal |
| spelling | doaj.art-5a89165e61a14bf192747631f2f4edcf2022-12-22T01:32:22ZengBKL Walawalkar Rural Medical College & HospitalWalawalkar International Medical Journal2349-29102395-06842016-08-01311927Prospective study of emergency presentation of abdominal tuberculosisAkhilesh R. Mishra0Dipak D. Thorat1V. M. Deshmukh2Lokmanya Tilak Muncipal Medical College and Hospital, Sion MumbaiLokmanya Tilak Muncipal Medical College and Hospital, Sion MumbaiLokmanya Tilak Muncipal Medical College and Hospital, Sion MumbaiBackground: In developing countries like India, where poverty, malnutrition and overcrowding prevail, tuberculosis continues to be one of the important causes of morbidity, mortality and loss of working man hours. Abdominal tuberculosis (TB) can affect the gastrointestinal tract, the peritoneum, lymph nodes of the small bowel mesentery or the solid viscera (e.g. liver, spleen, pancreas etc) Patient of abdominal Koch’s can present as those with a chronic undulating course and those with an acute or subacute abdominal catastrophe. In emergency the patient may present with various presentations like stricture causing obstruction or with perforation and require a different management from those routine such cases Aim and Objective: To study the varied presentation of patients with Abdominal Tuberculosis as acute surgical abdomen presenting in emergency setting to those with a subacute course. To evaluate the line of management whether operative or conservative, the operative details, post operative course and the final outcome of the disease. To study the incidence of HIV positivity in patients with abdominal tuberculosis. Methods and material: The study was designed as a prospective observational study conducted during a study period between June 2006 and June 2008 in a tertiary care centre in Mumbai. All patients with a clinical suspicion of abdominal tuberculosis were included in the study with confirmation on histopathological examination. Patient’s written informed valid consent was taken after explaining the nature of study. Result and Conclusion: Age group commonly affected was between 21-30 years with male predominance. Amongst the various complications of abdominal tuberculosis intestinal obstruction was the most common mainly due to stricture and less commonly due to hyperplastic ileocaecal mass. Next common complication observed was free perforation of the intestine which occurs at a site proximal to a tight stricture. All patients were subjected to operative intervention with local resection and anastomosis being the most preferred surgery performed. Terminal ileum and ileocaecal region was the most common site involved. The incidence of HIV positivity was 11 per cent. The incidence of mortality was 11 per cent. Sepsis was the main cause of mortality in all the cases. Duration of stay ranged from 2 to 60 days. A prolonged stay was seen in patients who developed post operative complications.http://www.wimjournal.com/html/journal/images/3a3.pdfIntestinalTuberculosisEmergency |
| spellingShingle | Akhilesh R. Mishra Dipak D. Thorat V. M. Deshmukh Prospective study of emergency presentation of abdominal tuberculosis Walawalkar International Medical Journal Intestinal Tuberculosis Emergency |
| title | Prospective study of emergency presentation of abdominal tuberculosis |
| title_full | Prospective study of emergency presentation of abdominal tuberculosis |
| title_fullStr | Prospective study of emergency presentation of abdominal tuberculosis |
| title_full_unstemmed | Prospective study of emergency presentation of abdominal tuberculosis |
| title_short | Prospective study of emergency presentation of abdominal tuberculosis |
| title_sort | prospective study of emergency presentation of abdominal tuberculosis |
| topic | Intestinal Tuberculosis Emergency |
| url | http://www.wimjournal.com/html/journal/images/3a3.pdf |
| work_keys_str_mv | AT akhileshrmishra prospectivestudyofemergencypresentationofabdominaltuberculosis AT dipakdthorat prospectivestudyofemergencypresentationofabdominaltuberculosis AT vmdeshmukh prospectivestudyofemergencypresentationofabdominaltuberculosis |