DEMOGRAPHIC PROFILE AND CLINICAL PRESENTATION OF PATIENTS OF ABDOMINAL TUBERCULOSIS IN SURGERY WARD OF TERTIARY LEVEL HOSPITAL IN MB HOSPITAL, UDAIPUR, RAJASTHAN

Dr. Manmohan Singh, Dr. Chhavi Shripat

Abstract


Backgraound-Tuberculosis, especially in developing countries is a major health problem, and causes significant morbidity. WHO declared it a global emergency and is the most important communicable disease worldwide. TB of the gastrointestinal tract is the sixth most frequent form of extra-pulmonary site, after lymphatic, genitourinary, bone and joint, miliary and meningeal tuberculosis. Material and methods-The study was conducted in 50 patients admitted in the Department of General Surgery in Maharana  Bhupal Government Hospital, Udaipur. It included all patients diagnosed as abdominal tuberculosis. After admission of patient suspected to have abdominal tuberculosis in ward, detailed history, examination and specific investigation for diagnosis of abdominal tuberculosis was done. Results- TB majorly affects the individuals between 20-40 years of age (46%) and is more common in males, low socio economic status and rural area. Sub acute intestinal obstruction was the most common type of clinical presentation present in 82% of cases. 10% cases presented with acute intestinal obstruction and 8% cases presented with perforation peritonitis. The commonest presenting complaint was constipation in 90% cases. Pain was found in 88% of cases. Vomiting was found in 48% cases. Constitutional symptoms like fever, sweats and weakness were found in 32% of cases.

 


Keywords


TB, diagnosis, surgical management

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References


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