Abstract

Dr. Mashal Naz, Dr. Sidra Tahir and Dr. Yahya Azeem Ahmed*

ABSTRACT

Objective: This study was performed for determination of frequency of abdominal tuberculosis among 200 patients presented with acute abdomen at Department of surgery, Nishtar Hospital Multan. It is a cross-sectional study performed within 6 months duration from November 2017 to April 2018. Patients with age above 15 years of either gender were included in the study. Informed consent was taken from all the enrolled patients. Detailed history and examination was performed on every patient. Baseline laboratory investigation i.e. CBC, ESR, LFTs, RPM, PT, aPTT, Electrolytes and ECG was done for all patients. The diagnosis of acute abdomen was made on history of absolute constipation, abdominal pain etc., and examination and through abdominal ultrasonography. All the patients underwent open surgical laparotomy. Biopsy sample was collected and sent to pathology laboratory. Abdominal tuberculosis was confirmed on biopsy report. Patients having other systemic illnesses, IHD, end stage renal disease, liver cirrhosis, malignancy and those who not fit for surgery were excluded from the study. In this current study there were 200 cases that presented with acute abdomen. The mean age was 35.46±11.24 years. Biopsy report of 44 (22%) patients was positive for Abdominal Tuberculosis. There was no significant difference of gender, although it was observed that Abdominal Tuberculosis was more common in patients with age less than 40 years. Conclusion: We concluded that prevalence of Abdominal TB was very high in patients presented with acute abdomen, there is no difference with respect to gender distribution. 30-40 years age was most commonly involved.