Akhtar Ali, Muhammad Ans, Muhammad Kashif Munir, Sana Rehman, Naeem Asghar.
Diagnostic Approaches and Treatment of Abdominal Tuberculosis in Tertiary Care Settings.
Pak J Med Health Sci Jan ;12(2):630-3.

Background: Abdominal TB is a less common disease but accounts for a considerable healthissue in developing countries. Manifestations of abdominal TB include tubercular lymphadenitis, peritonitis, hepatosplenic and pancreatic TB respectively. Variety of approaches based on clinical signs, radiological, laboratory methods including bacteriology and histopathology are referred for diagnosis but none is characterized as gold standard. Aim: To observe the diagnostic approaches and treatment outcomes of variety of abdominal TB patients in tertiary care settings. Study Settings: This descriptive observational study was carried outpatient Department of Pulmonology, King Edward Medical University, Mayo Hospital Lahore and in Sheikh Zayed Hospital Rahim Yar Khan during January 2015 to December 2015. Results: A total of 56 patients were recruited for present study comprising 38 females and 18 males showing clear dominance of females with a male to female ratio of 1:2.1. Mean age of patients remained 21.18+-6.81. Computed tomography (CT) scan and ultrasound remained the most useful in diagnosis of abdominal TB cases and helped in establishing diagnosis of 26 (46.4%) and 25 (44.6%) case respectively. Most of the patients (62.5%) had excellent treatment compliance, good compliance was found to be in (16.1%) patients however few patients (14.3%) showed bad compliance. Conclusion: Multivariate approach combining clinical presentation, laboratory findings, radiological and pathological features of patients may help prompt diagnosis while good treatment compliance was observed resulted in good treatment outcomes in present study.

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