Abstract

Tuberculosis has been declared a global emergency by the World Health Organization (WHO) and is the most important communicable disease worldwide. The disease may involve any system of the body but abdomen is one of the commonest sites of involvement after lungs. Most patients with abdominal TB can be treated with anti TB therapy alone but some may require surgery to relieve the obstruction either by stricturoplasty or resection and anastomosis. AIM AND OBJECTIVES: To observe the incidence of Intestinal Tuberculosis among all the cases presenting to the acute surgical care, Osmania General Hospital as intestinal obstruction, various modes of management and outcome among these cases. MATERIALS AND METHODS: A retrospective study of 41 patients presenting to the acute surgical care unit of the upgraded department of General Surgery of Osmania General Hospital, Hyderabad, with Intestinal Obstruction due to Tuberculosis, from 2011 to 2014. The main inclusion criteria being the histopathological positivity of the specimen for tuberculosis. All cases of TB Peritonitis, Perforation due to TB have been excluded. RESULTS & CONCLUSION: Bowel obstruction resulting from intestinal tuberculosis is one of the most common abdominal surgical emergencies and contributes significantly to high morbidity and mortality. Young age at presentation, delayed presentation and high morbidity and mortality are among the hallmarks of the disease. A high index of suspicion, proper evaluation and therapeutic trial in suspected patients is essential for an early diagnosis and timely definitive treatment, in order to decrease the morbidity and mortality associated with this disease

Description