ISJ Theoretical & Applied Science 01(69) 2019

Philadelphia, USA

Ullah, Z., Ali, H. N., & Amin, J.

T.B Abdomen: Frequency of common Signs and Symptoms.

Full Article: PDF

Scientific Object Identifier: http://s-o-i.org/1.1/TAS-01-69-43

DOI: https://dx.doi.org/10.15863/TAS.2019.01.69.43

Language: English

Citation: Ullah, Z., Ali, H. N., & Amin, J. (2019). T.B Abdomen: Frequency of common Signs and Symptoms. ISJ Theoretical & Applied Science, 01 (69), 311-315. Soi: http://s-o-i.org/1.1/TAS-01-69-43 Doi: https://dx.doi.org/10.15863/TAS.2019.01.69.43

Pages: 311-315

Published: 30.01.2019

Abstract: Objective: This study was done to determine frequency of various common signs and symptoms of tuberculous abdomen. Study design and duration: It is a prospective study started in January 2018 and completed in August 2018 comprising on a total duration of eight months. Setting: This study was conducted in General surgery unit of Jinnah Hospital Lahore, Pakistan. This is a tertiary care teaching hospital. Patients and Methods: Total 170 patients presented with the signs and symptoms of acute abdomen in emergency department. These cases were having various features of intestinal obstruction and peritonitis. These cases were evaluated for the cause of acute abdomen. All necessary investigations were carried out in the emergency department after giving initial management. After taking proper history thorough examination was done. X-ray abdomen erect and supine, Ultrasound abdomen, Chest x-ray erect, CBC, serum profile and serum amylase were done. Presenting complaints and positive findings were documented. A proforma was designed to document all relevant data of each patient presenting with acute abdomen. Proper consent was taken from each patient for including them in the study and from Medical superintendant of the hospital for conducting study. After evaluation diagnosis was established and definite treatment plan was adopted. All data was analyzed and frequencies were calculated using Microsoft office and SPSS software version 2012. Data was presented in the form of tables and graphs. Results: Out of 163 cases which presented with acute abdomen, 40 cases were diagnosed with intestinal tuberculosis. This indicates prevalence of T.B abdomen 24.5% among the cases of acute abdomen. Range of age among these patients was 15-76 years with mean age of 42.4 years. Mostly cases were having age from 25-45 years. There were 25 cases with 15-25 years, 48 cases between 26-35 years age, 40 cases with 36-45 years, 22 cases with 46-55 years, 24 cases with 56-65 years, 8 cases with 66-75 years and only 3 cases were having age above 75 years. Most common presenting symptom among these cases was abdominal pain in all 163 cases followed by constipation, diarrhea and weight loss etc. Most common signs were abdominal tenderness and abdominal distension. Conclusion: Intestinal tuberculosis is much common among the patients presenting with acute abdomen. Abdominal pain and distension with altered bowel habits are common presenting complaints among these cases. Ileocaecal hyperplastic tuberculosis is most common operative finding in intestinal tuberculosis.

Key words: Intestinal tuberculosis, prevalence, presentation of T.B abdomen