Shakeel Ahmed, Abdullah-el-muttaqi, Aurangzaib, Tariq Mehmood.
Abdominal Tuberculosis: Presentation, Post Operative Complications & Management.
Pak J Surg Jan ;26(1):2-6.

Objective: Th e main purpose of conducting this study was to determine diff erent ways of presentation of intestinal tuberculosis in emergency and out-patients department. Th is study was also carried out to describe the outcome of diff erent surgical techniques as well as to highlight the post operative complications in the management of intestinal tuberculosis. Design: Descriptive case series. Place of Study: Th is study was conducted in the Surgical Unit II of the Abbasi Shaheed Hospital and Karachi Medical and Dental College, Karachi. Duration of Study: From June 2005 To March 2007. Patient and Methods: All cases of intestinal tuberculosis proved by histopathology of specimen removed during operation with no age or sex discrimination, irrespective of emergency or elective presentation were included in this study. Results: Total 35 patients were included in this study. 25 patients presented with intestinal obstruction. Th e cause of obstruction was adhesions in 10 patients, bands in 5 patients, mass in RIF in 5 patients, stricture in 5 patients, perforation in 5 patients and abdominal distension and pain but without peritonitis in 5 patients. 30 patients underwent surgery and 5 patients were managed conservatively. Ileostomy was formed in 15 patients. 10 patients developed complications e.g. skin excoriation in 9 patients, recurrent fi stula in 3 patients; retraction of stoma in 2 patients and bleeding from stoma in one patient. Resection anastomosis was done in 5 patients; 2 patients developed fi stula and 1 developed abscess. Division of bands and adhesions was carried out in 5 patients with no complications Simple closure of perforation was done in 3 patients. All 3 patients developed faecal fi stula and sepsis and 2 died. Stricturoplasty was done in 2 patients with no complications.

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