Surgery in abdominal tuberculosis: results in 137 cases
Eggleston, Forrest C.; Deodhar, Madhu C and Kumar, Ashutosh (1983) Surgery in abdominal tuberculosis: results in 137 cases. Indian Journal of Tuberculosis, 30 (4). pp. 139-145.
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During a 17 year period 137 patients underwent surgery for abdominal tuberculosis. Ages ranged from 14 months to 75 years 56% were males. Based upon symptomatology, patients were classified into four groups—obstructive (61 cases), masses (29), perforation (21) and atypical (26). 10% of the patients were on antitubercular treatment at the time of operation. Symptomatology and physical findings varied widely between the four groups, the only common finding being abdominal pain. A correct pre-operaiive diagnosis was made in 69%. At laparotomy 64% were found to have localized lesions and in 51 patients 109 strictures were found. Definitive surgery was required in 115 patients. Mortality in elective cases was 3 % and in emergency cases, 18%. Abdominal tuberculosis remains a problem in the developing world and in countries having a large immigrant population. It produces a wide variety of symptoms and frequently is neither diagnosed pre-operatively nor recognized at operation, ft is our purpose to review our experience in the management of 137 cases.
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