Acute Presentation and Management of Abdominal Tuberculosis: A Ten-year Experience at a Tertiary Care Center in Pakistan

Services Hospital, Lahore80 enrolled

Overview

A prospective interventional study was conducted in Services Instituton of Medical Sciences all patients who underwent emergency laparotomy from 2008-2018 due to abdominal tuberculosis. Data were analyzed using SPSS version 21

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Tuberculosis; Abdomen

Interventions

exploratory laparotomyPROCEDURE

Patients presenting with acute abdomen were operated. Exploratory Laparotomy of patients was done. Further procedure was done according to peroperative findings. Ileostomy for perforation of gut, stricturoplasty for strictutre, biopsy for mesentric lymphadenopathy

Eligibility

Sex: ALLMin age: 12 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Both sexes and age between years and 90 years * Patients presenting with acute abdomen and who underwent exploratory laparotomy * Patients who diagnosis confirmed on biopsy (caseating granulomas) Exclusion Criteria: * Peritoneal tuberculosis * Other causes of acute abdomen (Typhoid perforation) * Patients diagnosed with abdominal tuberculosis and on conservative management

Locations (1)

Services hospital

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Percentage of patients who develop complications after surgery

Complications of surgery like leakage of gut content, enterocutaneous fistula, intestinal obstruction

Time frame: 9 months

Percentage of patients who develop recurrence of abdominal tuberculosis (elevated ESR, CT scan findings of abdominal tuberculosis)

Recurrence of abdominal tuberclosis assessed by ESR, CT scan Abdomen, Biopsy

Time frame: 1 year

Mortality rate

death due to postoperative complications

Time frame: 9 months

Data from ClinicalTrials.gov

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