Altaf Ahmed Talpur, Mumtaz Maher.
Frequency of intestinal Tuberculosis in operated cases of intestinal obstruction
Med Channel Jan - Mar 2006;12(1):52-5.
Jinnah Postgraduate Medical Centre, Karachi

OBJECTIVE: To review the cases of intestinal tuberculosis in operated cases of intestinal obstruction. DESIGN: Prospective/retrospective descriptive study. PLACE AND DURATION OF STUDY: Surgical ward-2, Jinnah Postgraduate Medical Centre, Karachi from 1st March, 2000 to 28th February, 2002. MATERIAL AND METHODS: Total 246 patients of intestinal obstruction were operated in this period, amongst them 62 patients were found to be intestinal tuberculosis. All these patients were admitted through Accident and Emergency Department. RESULTS: Intestinal tuberculosis as a cause of intestinal obstruction was found in 62 (25.2%)patients. Mean age was 27.36 years. There were 32 (51%) male and30 (49%) female. Symptoms and signs of intestinal obstruction were found in all patients while peritonitis secondary to intestinal obstruction was found in 18 (29.03%) patients. Other symptoms of tuberculosis such fever, night sweats, weight loss was also present in significant number of these patients. After relevant investigations exploratory laparotomy was performed. Small intestinal stricture was commonest cause of intestinal obstruction found in 38 (61.29%) patients Mass in right iliac fossa found in 18 (29.03%) patients Six (9.67%) pa- tients had adhesions as a cause of intestinal obstruction with strictures as an incidental finding. Perforation of the small bowel secondary to intestinal obstruction was found in 18 (29,03%) patients. Stricturoplasty was the commonest procedure performed in 20 (32.25%) patients. Right hemicolectomy was second commonest procedure after stricture-plasty performed in 16 (25.80%n) patients. Other procedures performed include resection of the strictured or perforated segment followed either by end to end anastomosis or by end ileostomy. Me- senteric lymph nodes found enlarged in all patients and taken for biopsy. Antituberculous therapy was given to all patients. CONCLUSION: Frequency of intestinal tuberculosis is significantly high in our population and it is increasing at alarming rate.

Category: Surgery
Keywords: Abdominal Tuberculosis. Tuberculosis. Intestinal Obstruction.

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