DOI: http://dx.doi.org/10.18203/2349-2902.isj20201165

Study of incidence and clinical presentation of tubercular abdominal emergencies

Mahendra Kumar

Abstract


Background: Tuberculosis is a common surgical problem in our community. Emergency surgery is usually required and surgical procedure depends upon the location and extent of the disease. Objective of the study was to determine the incidence of abdominal emergencies due to tuberculosis.

Methods: This observational study involved 300 patients with abdominal tuberculosis admitted either as a case of acute of subacute abdominal emergencies and tract in Lal Lajpath Rai hospital Kanpur, Uttar Pradesh, India, and associated hospitals. Data was entered into Excel worksheet and analyzed using SPSS version 16.0. Detailed data of each patient was entered on a Microsoft excel. Data were presented in number and percentages.

Results: The maximum number of cases were in third decade of life, age group 21-30. There were 120 males and 180 females. Male to female ratio was 1:1.5. Most of cases not having evidence of tuberculosis. History of pulmonary tuberculosis and abdominal tuberculosis were observed in 25% and 13% of the total cases. Abdominal pain was the commonest symptoms. Generalized pain was present in 136 cases and localized pain was present in 154 cases. 186 cases were presented as subacute intestinal obstruction and 114 cases patients were presented as acute abdomen.

Conclusions: Acute abdominal condition is one of the most frequent emergencies, early diagnosis with prompt treatment is essential for a promising prognosis.


Keywords


Emergency, Incidence, Surgery, Tuberculosis

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References


World Health Organization Bulletin in Epidemiology of Tuberculosis. 2002.

Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am Gastroenterol. 1993;88:989-99.

World Health Organization. Global tuberculosis report 2018. Available at World Health Organization, Geneva, 2018, https:// www.who.int /tb/publications/global_ report/en/. Accessed on 10 September 2019.

Houben RM, Dodd PJ. The global burden of latent tuberculosis infection: a re-estimation using mathematical modelling. PLoS Med. 2016;13:1002152.

Yang Z, Kong Y, Wilson F, Foxman B, Fowler AH, Marrs CF, Cave MD, Bates JH. Identification of risk factors for extrapulmonary tuberculosis. Clin Infect Dis. 2004;38:199-205.

Rathi P, Gambhire P. Abdominal tuberculosis. J Assoc Physicians India. 2016;64:38-47.

Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol. 2014;20:14831-40.

Cho JK, Choi YM, Lee SS, Park HK, Cha RR, Kim WS, et al. Clinical features and outcomes of abdominal tuberculosis in southeastern Korea: 12 years of experience. BMC Infect Dis. 2018;18:699.

Malik AK, Bhasin DK, Pal L, Wif JD, Singh K, Mehta SK. Does vasculitis occur in abdominal tuberculosis? J Clin Gastroenterol. 1992;15:355-6.

Radhika S, Rajwanshi A, Kochhar R. Abdominal tuberculosis: diagnosis by fine needle aspiration cytology. Acta Cytol. 1993;37:73-8.

Ahmed M, Mainghal MA. Pattern of mechanical intestinal obstruction in adults. J Coll Physicians Surg Pak. 1999;9:441-3.

Chuttani HK. Intestial tuberoculosis. In modern trend in gastroenterology. Butterworth-Heinemann. 1970:308.

Dandapat MC, Rao VM, Management of abdominal tuberculosis. Ind J Tub. 1985;32:126.

Das P, Shukla HS, Clinical diagnosis of abdominal tuberculosis. Brit J Surg. 1976;63:941.

Joshi MJ. Surgical management of abdominal tuberculosis a conservative approach. IJS. 1978;40:78.

Pujari BD. Experience with tuberculosis of the large bowel. Ind Jr Surg. 1989;39:57.

Rajpoot MJ, Memon AS, Rani S, Memon AH. Clincopathological profile and surgical management outcomes in patients suffering from intestinal tuberculosis. J Liaqaut Uni Med Health Sci. 2005;4(3):113-8.

Sanghai SL, Tondon PL, Hafiz MA, Singh R. Abdominal tuberculosis. Ind Jr Surg. 1964;26:44.

Lal MM. Gupta RK. Enteric tuberoclosis perforation on 10 months old infant. Ind J Surg. 1989;5:51.

Bhargava DK. Intestinal tuberculosis. Trop Gastroenterol. 1980;2:62-8.

Ukil AC, Early diagnosis and treatment of intestinal tuberculosis. Ind Med Gaz. 1942;77:613.

Bhansali SK. The challaenge of abdominal tuberculosis in 310 cases. Ind J Surg. 1978;40:65.