A CLINICAL STUDY OF ABDOMINAL TUBERCULOSIS ADMITTED IN JLNMCH, BHAGALPUR

Dr. Dina Nath Prasad; Dr. Jayant Kumar Desh Deepak

Volume : VI, Issue : V, May - 2017

A CLINICAL STUDY OF ABDOMINAL TUBERCULOSIS ADMITTED IN JLNMCH, BHAGALPUR

Dr. Dina Nath Prasad, Dr. Jayant Kumar Desh Deepak

Abstract :

Several recent developments, which have influenced the incidence as well as clinical course of tuberculosis in general, warrant a fresh look at abdominal tuberculosis. The availability of several effective combinations of potent anti–tuberculosis drugs and the general improvement in the living and nutritional standards of large segments of populations in many countries have expectedly led to a decline in the incidence of tuberculosis. The pattern of clinical presentations of abdominal tuberculosis has also changed. In this prospective study, 50 cases were studied in department of surgery, from January 2016 to June 2016. All patients were clinically evaluated and thoroughly investigated. 30 were males and 20 females with average age ranging 12–55 years. Abdominal pain was the most common presenting symptom in 47. The diagnosis of abdominal TB was confirmed by the presenting complaints of fever, weight loss, altered bowel habit, abdominal pain and distension in 30 patients, 9 by acid fast bacilli detection in sputum and 11 were diagnosed after the biopsy report of the specimen after operation. All patients received anti–tubercular treatment. All patients were improved with minimum side effects of drug. It was seen that the histopathological findings of tissue and clinical features are good method of diagnosis of abdominal tuberculosis. If diagnosed early, it can be treated successfully with anti–TB drugs and other surgical management.