A DESCRIPTIVE STUDY ABOUT ABDOMINAL TUBERCULOSIS

DR SELVAMUTHUKUMARAN GUNASEKARAN; DR KANIMOZHI KALIAPPAN; DR SELVAM KAVERI

Volume : VI, Issue : IV, April - 2017

A DESCRIPTIVE STUDY ABOUT ABDOMINAL TUBERCULOSIS

Dr Selvamuthukumaran Gunasekaran, Dr Kanimozhi Kaliappan, Dr Selvam Kaveri

Abstract :

BACKGROUND The diagnosis of abdominal tuberculosis is obscure. Joseph Walsh in1909 remarked that �It is impossible to diagnose abdominal tuberculosis with any degree of certainty�.Unfortunately this remains even today in situations where it is relatively common. The signs and symptoms are often vague and laboratory investigation and radiological findings are non-specific. Many cases go unnoticed until a surgically removed specimen is examined histopathologically. A majority of stenotic lesions of the bowel are of tuberculous in nature and has been found on the operating table has one of the common findings in cases of acute Intestinal obstruction.The term abdominal tuberculosis refers to tuberculous infection of the gastrointestinal tract. mesenteric lymph nodes, peritoneum and omentum, and of solid organs related to the gastrointestinal tract such as the liver and spleen. METHODOLOGY: This Descriptive study was done for a period of 3 years from Jan 2014 to Dec 2016 in Government Dharmapuri Medical College Hospital, Dharmapuri, Tamilnadu, India. The proforma contains the following details demography , presentation, lab reports, radiological reports and management of these patients ,which were recorded after the consent of the patients. Collected datas were analysed. RESULTS: Diagnostic laparoscopy was done in 28 patients of our study group which included the patients who did not have conclusive diagnosis after radiological diagnosis and also patients with radiological investigations supporting abdominal tuberculosis for further confirmatory evidence and tissue diagnosis. It showed a sensitivity of 92.8 % in our study group. CONCLUSION: Laparoscopy plays a very important role in the diagnosis of abdominal tuberculosis and it needs to be evaluated as initial diagnostic tool.