Varied intestinal tuberculosis: an experience at Sandeman Hospital, Quetta | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2000]

Author(s):

1. Manzoo Arhmad: Civil Hospital, Quetta, Balochistan, Pakistan.

2. Muhammad Azhar Mughal: Department of Pharmacology and Therapeutics, Ziauddin Medical University, Karachi, Pakistan

3. Muhammad Azam Maingal: Surgical Unit-Ill, Civil Hospital, Quetta, Balochistan, Pakistan.

Abstract:

In this study, fifty cases of intestinal tuberculosis were reviewed for presentations of intestinal tuberculosis and type of surgery performed. These patients were admitted in two and half year period (January, 1996 to June, 1998). Majority of patients were young females and belong to low socio-economic group. Pain in abdomen (100%), sub-acute and acute obstruction (70%) were the prominent modes of presentation. In majority of cases terminal ileum and ileocaecal region were involved. Ileal resection and right hemicolectomy was performed in majority of cases. Not a single non-invasive investigation was helpful. Histopathological examination of biopsy specimen was diagnostic in all cases. In centers where diagnostic facilities are not available, laparotomy is the safest procedure to diagnose as well as manage the intestinal tuberculosis, when present with features of intestinal obstruction.

Page(s): 246-248

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 10, Issue: 7, Year: 2000

Keywords:

peritoneal Colectomy Laparotomy , Intestinal obstruction Peritonitis Tuberculosis gastrointestinal Tuberculosis

References:

[1] Petal R .1993 .Tuberculous peritonitis presenting as colo-enteric fistula. Br J CHnc Pract, 47(4) : 214-5.

[2] Jaffer AJ .1997 .Koch's abdomen in Afghan refugees. PakJSurg, 2(2) : 23.

[3] Ayyaz M,Afzal MF,Abdullah MA .1996 .in abdominal tuberculosis. PakJSurg, 12(4) : 186-8.

[4] Mehmood MT,Raja GA .1993 .Abdominal tuberculosis: 20 years experience. PakJSurg, 9(1) : 13-9.

[5] Ahmad J,Malik Zl J . .Abdominal tuberculosis: PIMS experience. , : 38-40.

[6] HumanWP . .A 44 experience with tuberculous enteritis. WorlJdSurgin', 1 : 245-50.

[7] Findlay JM,Addison NV .1979 .Tuberculosis of gastrointestinal tract in Bradford. JSoo Med, 72 : 587-90.

[8] .1988 .Primary tuberculous enteritis. Surg Gynae Obstet, 167 : 167-73.

[9] Segal I .1981 .Pitfail in the diagnosis of GIT tuberculosis. Am J Gastroenterol, 75 : 30-5.

[10] Sherman S .1980 .Tuberculous enteritis and peritonitis: report of 36 general hospital cases. Arch Intern Med, 140 : 506-8.

[11] Novis H,Bank S,Marks LN .1983 .Gastro-intestinal and peritoneal tuberculosis. SAfrMedJ, 57 : 365-72.

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