Abdominal tuberculosis: profile of 26 cases (original) (raw)
All patients with abdominal tuberculosis, who had varied modes of presentations, were included. Diagnosis was based on history, physical examination and laboratory investigations. Patients who underwent surgery their preoperative findings and procedure performed was also recorded. Results: Mean age of 10 male and 16 female patients was 33 years (range 14-66 years). Varied presentation of abdominal tuberculosis included pain in abdomen (88.46%), fever (84.6%), weight loss (69.2%), mass in abdomen (46.1%) and abdominal distention Ascites) (26.9%). Surgical intervention was done in 16 (61.5%), mass in abdomen. Adhesiolysis (18.75%), resection and anastamosis (12.5%), stricturoplasty (12.5%). loop Ileostomy (25%), closure of perforation (18.75%) and limited right hemicolectomy (12.5%) were the procedures carried out. 4 patients expired with a mortality rate of 25%. Conclusion: The diagnosis of abdominal is difficult due to the lack of specific signs and symptoms. However predetermined clinical can be readily applied for earlier diagnosis. Surgical exploration is reserved for equivocal cases and for those who present as emergencies.
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