Frequency of Abdominal Tuberculosis in Cases Presenting with Acute Abdomen

Abstract

Objective: To determine the frequency of abdominal tuberculosis in cases presenting with acute abdomen. Study design: This was a cross sectional study. Place of study: Department of Surgery, Sheikh Zayed Hospital. Rahim Yaar Khan. Period of study: July 2017 to December 2017. Methodology: The cases of both genders with age 15 years or more were included in this study. The diagnosis of acute abdomen was made where there was pain in abdomen of 5 or more on visual analogue scale and absolute constipation within last 24 hours with or without vomiting.  The cases with any malignancy and those with end stage renal, liver or heart disease will be excluded. The cases will undergo surgery at the same institute by consultant surgeon and biopsy will be taken from the affected intestinal or omentum tissue and presence of granulomatous disease on it will reveal it as abdominal TB. Results: In the present study there were 100 cases, that presented with acute abdomen. The mean age was 39.56±10.23 years. Abdominal TB was detected in 25 (25%) of the cases. There was no significant difference in terms of gender with p= 0.78. Abdominal TB was significantly high in cases that had age group 40 or less years where it was seen in 22 (30.98%) cases with p value of 0.03. This was also more common that had concomitant pulmonary TB where it was seen in 6 (35.29%) cases; though this was not significant with p value of 0.21.

Conclusion; Abdominal TB was detected in every 4^th case presented with acute abdomen and it is significantly high in cases that had age group 40 year or less.