1Associate Professor, Department of Surgery, Muzaffarnagar Medical College, Muzaffarnagar
2Assistant Professor, Department of Surgery, Muzaffarnagar Medical College, Muzaffarnagar
3Professor, Department of Surgery, Muzaffarnagar Medical College, Muzaffarnagar
4Associate Professor, Department of Surgery, BPS Government Medical College, Khanpur Kalan, Sonepat
5Associate Professor, Department of Medicine, Rajshree Medical Research Institute, Bareilly
*Corresponding author: Dr Naveen Agrawal Assistant Professor, Department of Surgery, Muzaffarnagar Medical College, Muzaffarnagar 184, Sangamvihar, Jansath Road, Muzaffarnagar. Drnaveenagrawal@Gmail. Com Phone-9760336161
Online published on 9 February, 2018.
Intestinal perforation, during the course of illness is well documented, but in patients on antitubercular treatment is an uncommon phenomenon. We present our study of 196 patients being treated in our hospital for pulmonary and abdominal tuberculosis, out of which 4 developed intestinal perforation during the course of their treatment. All patients were managed medically and surgically after timely diagnosis, in form of either resection anastomosis or stoma formation. Antitubercular treatment was completed in all cases for duration of atleast 12 months.
This is a prospective descriptive study of abdominal and pulmonary tuberculosis cases which were diagnosed, and treated medically and surgically in Department of Surgery, Muzaffarnagar Medical College and Hospital, Muzaffarnagar, from May 2014 till April 2016. Cases were analysed in terms of outcome during the course of antitubercular treatment, responded well, relapses after treatment, surgical complications during treatment, and 1 year follow up.
Total of 196 patients diagnosed with abdominal and pulmonary tuberculosis were included in the study. The mean age was 35 years with male to female ratio 2: 3 Patients were diagnosed with clinical, radiological and pathological findings. 4 patients required surgical intervention during the course of treatment in view of intestinal perforation. Right hemicolectomy, resection and end to end anastomosis with temporary ileostomy was performed.
Abdominal Tuberculosis is under reported in Indian literature. Complications during ATT are not well documented, and the course of disease during the treatment need to be well documented to prevent complications and relapses.
Abdominal tuberculosis, intestinal perforation, tuberculosis, peritonitis
