Muhammad Ahmad, Azfar Farogh, Imtiaz Ahmad, Anjum Sohail, Khalid Mahmood Gill, Mumtaz Ahmad.
Intra-abdominal Tuberculosis.
J Surg Pak Jan ;7(1):16-8.

A retrospective, observational study was carried out at Surgical Unit-III, Bahawal Victoria Hospital, Bahawalpur, from February 2000 to July 2001, to find out the various modes of presentations of abdominal tuberculosis. A total of 72 patients of all ages and sex, fulfilling the inclusion criteria, were included in this study. These patients were divided into two groups: surgical group and conservative group. In operative cases, histopathological examination was also undertaken. Complications were also noted. Patients in both the groups were given standard anti-tuberculous regimen for 9 - months. Out of these 72 patients, 19 were managed conservatively while surgery was undertaken in 53 cases. Most were females (male to female ratio, 1:1.7). Mean age of patients was 32.7 years. The patients who had pulmonary as well as abdominal tuberculosis were 39%. Most patients presented with abdominal pain (85%) and abdominal distension (82%). The commonest operative finding was ileocaecal mass (32%), followed by the intestinal perforation (25/0). The most common operative procedure undertaken was stoma formation (ileostomy/colostomy). The overall mortality was 9.7%.

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