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A Abdominal T uberculosis in Yemen

Author: Salem A.H.AL-SARRAF
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2008 Volume: 50 Issue: 1 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: tuberculosis is an endemic disease in Yemen. Abdominal Tuberculosis (AT) is the most common extra pulmonary manifestation of the disease.The clinical picture can be non specific.Laparoscopy is the most accurate diagnostic method but has its limitation depending on presentation. The aim of this study was to present the common clinical manifestation and the
different type of Abdominal TB,the surgical procedure used,the morbidity and
mortality of the disease.
Patient and Methods: This is a prospective study of 48 patients with Abdominal TB who were
admitted to Kuwait University hospital in Sana'a-Yemen between Jan 2002-Dec
2004.fourteen patients (29%) were treated medically with Anti TB drugs.Thirty
four patients (71%) required surgical Intervention for diagnosis and treatment.
Results : Thirty two patients (67%) were female ,16 patients ( 33%) were male with a ratio of 2:1 .Fifty percent of patients were in age group 20-40.The most common symptom was Anorexia (94%) abdominal pain (92%) fever (90%).The most common signs were Abdominal mass ,ascitis and abdominal tenderness.Smeares and culture of ascitis fluid were negative for A.F.B. . Out of the 34 patients who required surgical treatment ;17 patients (50%) had Tuberculous peritonitis,32% had tuberculosis of intestine, and 17%had tubeculous mesenteric lymphadenitis.Complication rate was 50%,and mortality was 9%.
Conclusions: Diagnosis of Abdominal TB should be suspected in patients of abdominal pain with vague clinical presentation coming from endemic areas.not all patients present with ascitis and whene ascitis is present smears and culture are usually negative for A.F.B. Laparoscopy has its limitation Surgery should be avoided unless complication occur and should be conservative.Tube drains can be used with no fear of TB Sinus.

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