Waleed Mabood, Tayyaba Ayaz, Heera Urooj, Jawad Mabood, Hafiza Mariam Nasarullah.
Abdominal tuberculosis; Challenges imposed on surgeons owing to it`s variable presentations.
Pak J Surg Jan ;36(4):286-91.

Introduction: Tuberculosis is a worldwide communicable disease caused by "Koch`s Bacillus" mycobacterium tuberculosis. More than 90% of this occurs in developing countries. Extra pulmonary tuberculosis is more prevalent in the people of South Asian origin while pulmonary tuberculosis is more common in white races. The rationale of this study is to throw light on the varied clinical presentation of abdominal tuberculosis causing intestinal obstruction that present in surgical wards. Objectives: To find out varied clinical presentations of abdominal tuberculosis causing intestinal obstruction validated upon histopathological report Material and Methods: This prospective observational study was conducted in Department of Surgery, Khyber Teaching hospital, Peshawar after approval from the ethical board and research committee from April 2018 to March 2019 over 50-patients of either gender irrespective of age, collected by non-probability sampling method. Results: The age range of patients studied was from 12 to 70 years with a mean age of 24 years. Out of 50-patients, 28-patients were female, and 22-patients were male. 25-patients (50%) presented with symptoms and signs of sub-acute intestinal obstruction while 20-patients (40%) presented with clinical features of acute intestinal obstruction and 5 patients (10%) presented with acute peritonitis. Pain abdomen was the most common symptom in all the cases. Conclusion: Abdominal Koch`s responds well to A.T.T so surgery is only reserved for complications. Depending upon site, type and extent of tubercular lesion, various surgical procedures are recommended.

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