Incidence of Abdominal Tuberculosis in Patients Presenting With Peritonitis
Objective: The main aim of this study was to find the incidence of abdominal TB in patients presenting in emergency department with peritonitis or acute abdomen.
Study Design: Cross sectional
Place and Duration of Study: This study was carried out in surgical departments of Mayo hospital Lahore in a duration of 10 months from March 2018 to December 2018.
Materials and Methods: Patients with age greater than 15 years were included in study. Both genders were included on random basis. Informed consent was taken from all the patients or their relatives. Ethical committee approval was taken. Acute abdomen was labelled in patients who had generalized abdominal pain of 5 or more according to visual analogue scale either without or with vomiting and history of absolute constipation on one days or greater time period. Exclusion criteria included patients with end stage kidney, liver or heart abnormalities or patients who had malignancy. Exploratory laparotomy was done and a biopsy sample was taken from every patient with infected gut or from omentum and sent to a reliable lab for reporting. The case was included only in study if the sample revealed tuberculosis.
Results: Our study included 100 patients who presented in emergency with peritonitis or acute abdomen. 39.56 was the mean age. 25% cases revealed abdominal TB. Gender difference was insignificant. In patients with age of 40 years or less, incidence was much higher as compared to other groups where it was found to be 22 (30.9%). In patients with coexisting pulmonary TB, it was more common where it was seen in 6 (35.29%) cases.Conclusion: In every 4th case with peritonitis, abdominal TB was seen and it had higher incidence in patients with age of 40 years or less.
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