European Journal of Molecular & Clinical Medicine

Abstract

Background: Tuberculosis (TB) is a common disease world wide, affecting one third of the whole population especially in developing countries.Rate of the cases vary depending on numerous factors such as age, sex, race, socioeconomic status and geographic location, which are important in the prevalence of the disease.
Gastrointestinal TB remains one of the commonest and most difficult disease globally as far as diagnosis is concerned
Methods: This retrospective study was conducted on 20 patients in General Surgery Ward, at Dr. D.Y. Patil Hospital and Research Centre, Pune for a period of 1 year who were diagnosed as Abdominal Tuberculosis. Diagnostic Laproscopy followed by biopsy was done in all the patients and aimed at finding the possible role of diagnostic laparoscopy in patients with high degree of suspicion for diagnosing and resorting to early anti-tubercular treatment as well as avoiding laparotomies as a surgical intervention in cases of abdominal tuberculosis.
Results: In the following study, 20 patients of abdominal tuberculosis underwent diagnostic laproscopy followed by biopsy. Most common symptom was pain abdomen and most common affected organ was ileo-caecal junction. Only 50% cases required intraoperative procedures such as adhesiolysis and stricturoplasty and Resection and anastomosis
Conclusions: Diagnosis of abdominal tuberculosis is always a dilemma and presents as a challenge due to its non-specific clinical presentations.
Laparoscopy is safe, reliable, minimally invasive and effective in cases presenting as a diagnostic dilemma.