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23

Ann Hamd Uni. 2011; 2(1): 14-18


Abdominal tuberculosis: A study at Hamdard University Hospital

Rabia Urooj, Lubna Habib, Masoom Raza Mirza, Saleem Khan, Zakiuddin G Oonwala.

Abstract
Objective: To evaluate the incidence of abdominal tuberculosis at a teaching hospital and to review all the cases of abdominal tuberculosis and their symptomatology.
Study Design: It is a retrospective descriptive study.
Setting and duration: All the cases of abdominal tuberculosis presented from June 2008 till June 2011 in the age group from 8 to 80 years were included in this study.
Material and Methods: The details of all patients admitted with abdominal tuberculosis from June 2008 till june2011 were added on a prescribed proforma and put on SPSS.
Results: 41 cases were dealt by our surgical team during the above period. The highest proportion of our patients have peritoneal tuberculosis (12 out of 41). 11 patients were presented with iloeocaecal tuberculosis, 3 were presented with right hypochondrial pain, while doing laparoscopic cholecystectomy found to have tubercles in the peritoneal cavity, two cases had fibrous stricture in the ascending colon, four presented with peritonitis with perforation in the terminal ileum, two had caecal mass, two had gastric tuberculosis, one had tuberculosis of the gall bladder and one had tuberculosis of appendix; three patients presented with vague symptoms of weight loss, evening pyrexia, night sweats, a raised ESR, enlarged nodes on ultrasound, enlarged node with caeseation on CT scan of abdomen.
Conclusion: The diagnosis of Abdominal tuberculosis is not very easy due to its vague syptomatology. To diagnose abdominal tuberculosis in the countries like Pakistan, one should have high index of suspicion and a low threshold to perform diagnostic laparoscopy.

Key words: Abdominal tuberculosis, caseating granuloma, Langhan’s giant cells



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