BACKGROUD:
Tuberculosis (TB) considered as the most communicable disease world wid. Among extra pulmonary
TB the prevalence of abdominal TB shows rising tendency. Abdominal TB is defined as an infection
of one or more common of two or more of the following sites; peritoneum, mesentery,
gastrointestinal tract and or solid organs. Reported incidence of abdominal TB varies from country to
country. The most common clinical features are abdominal pain, fever and weight loss.
OBJECTIVE:
To evaluate the role of surgery in the management of abdominal TB especially with the advent of
minimal access surgery (laparoscopy) in the diagnosis of this disease.
PATIENT AND METHODS:
Prospective study was conducted in Al-Kadhymia Teaching Hospital over three years (2007-2010),
fifty six patients with abdominal TB were included, the patients were managed by full surgical and or
medical teams, results was analyzed by appropriate statistical measures.
RESULTS:
Most patients were in the 2nd, 3rd and 4th decades of life. Female to male ratio was 1.5:1. Most of the
patients (82%) considered to have primary abdominal TB. Diagnostic laparoscopy was done for 21
patients and proved TB in 19 patients. Explorative laparotomy was done in 19 patients, the
commonest operative finding was ascites and peritoneal tubercles.
CONCLUSION:
Abdominal TB should be considered in all patients who presented with unexplained abdominal
symptoms and signs. Laparoscopy is an effective modality for diagnosis of abdominal TB.
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2011
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