Incidence of Abdominal Tuberculosis in Patient Presenting With Pain in Right Iliac Fossa: A Prospective Study in Grmc, Gwalior.

Abstract

Introduction: Abdominal tuberculosis is sixth most common type of extrapulmonary tuberculosis. It may mimics other gastrointestinal lesions like inammatory bowel disease, malignancies. The diagnosis is usually delayed due to non specic symptoms and signs.5-6We observed the various presentations of abdominal tuberculosis in our hospital and analyzed the pathology in present scenario. Aim: To evaluate the incidence of Abdominal tuberculosis in patient presenting Right iliac fossa pain and its association with pulmonary tuberculosis and role of Anti tubercular therapy (ATT) to minimize the further complications. Method And Materials:The study was carried out as a prospective study in the Department of General Surgery at Gajra Raja Medical College and Jayarogya group of Hospitals, Gwalior (M.P.) for 1½ year from January 2020 to June 2021. Atotal of 50 patients with pain in right iliac fossa were admitted and studied. The study was approved by the ethical committee of the hospital. Results: In our study out of 50 cases with pain in right iliac fossa 15 cases were diagnosed with abdominal tuberculosis with slight female predominance. maximum number of cases present between 20-39 years of age. 2 out of 15 had the past history of pulmonary Tuberculosis while 3 having family history of Tuberculosis. Out of 15 abdominal T.B. patients 5 patients underwent for surgery and 10 were managed conservatively & ATT started from which 4 patients responded well to ATT and 6 developed complications and presents in emergencyemergency, Out of them 4 having SAIO, 1 having distal ileal perforation and 1 with enterocutaneous stula. Conclusion: From the observation and result of my study most of patient Presented with chronic pain in Right iliac fossa has been diagnosed with ileocecal TB. Study show that 40% patients respond well to ATT and 60% develop complication with symptoms of obstruction and perforation during follow up that underwent for Surgery later on.

Diagnostic dilemma of right iliac fossa pain in females: a prospective study of 100 cases

“…7,8 The need for improved diagnostic approaches is underscored by the potential consequences of misdiagnosis or delayed diagnosis, which can lead to severe complications, including infertility, chronic pain, or even life-threatening conditions. 9 This highlights the importance of developing more accurate and efficient diagnostic strategies to enhance patient outcomes. Despite the prevalence and impact of RIF pain, there is a notable gap in the current literature regarding prospective studies focused specifically on this condition in females.…”