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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 101-103
Incidence of abdominal tuberculosis in patients presenting with pain abdomen - A randomized study
Sushant Kumar1, Pranaya Kunal2, Swetabh Suman3
1Associate Professor, 2Assistant Professor, 3PG Student, Department of Surgery, MGM Medical College and LSK Hospital, Kishanganj, Bihar, INDIA.
Abdominal tuberculosis tends to present with non specific features and can be hard to diagnose. In MGM Medical college and LSK Hospital, 5 patients out of 150 admitted cases were diagnosed as a case of abdominal tuberculosis from a randomized study conducted between October 2012 to august 2014. The most common presenting complaints were abdominal pain (100%) and weight loss (80%). On clinical examinations the findings noticed are pallor (80%), abadominal distension (60%), visible peristalsis (20%), abdominal tenderness (40%), abdominal rigidity (20%), doughy feel of abdomen (20%), abdominal lump (20%), cervical adenitis (20%) and ascites (20%). The most consistent laboratory finding was low haemoglobin (80% had <10 gm%). The mantoux test was positive in 40% of the cases. An ultrasound scan of the abdomen revealed findings consistent with abdominal tuberculosis in 2 cases and a computed tomography scan was helpful in diagnosing rest of 3 cases. The other investigations used to reach diagnosis are erythrocyte sedimentation rate (ESR), stool for occult blood test, adenosine deaminase activity (ADA), straight x-ray abdomen, barium meal follow through, colonoscopy, diagnostic laproscopy. After confirmination of diagnosis, a full course of antitubercular treatment which consists of isoniazide, rifampicin, pyrazinamide and ethambutol for first 2 months and isoniazide and rifampicin for next 4 months was given.