Background: Tuberculosis is one of the commonest communicable diseases to mankind. It has significant morbidity in India. Abdominal tuberculosis is difficult to diagnose and we should have high index of suspicion to diagnose it. This study aims to document Epidemiological profile and Clinical Presentations of Abdominal Tuberculosis.

Methods: This study was a Retrospective & Prospective observational study of 50 cases which were diagnosed and treated as Abdominal Tuberculosis between August 2013-August 2018 in Rajah Muthiah Medical College, Chidambaram, Tamilnadu, India. All patients who were diagnosed with abdominal Tuberculosis, whether operated or not, were put on anti-tubercular drugs for a period of 6 months and regular follow up was made.

Results: In our study, out of 50 patients with abdominal Tuberculosis, 28 were males (56%) and 22 were females (44%) with Male: Female Ratio of 1.27:1. There was a higher prevalence of Abdominal Tuberculosis in 4^th decade (36%) followed by 3^rd decade (24%). The most common clinical presentation was Intestinal Obstruction in 13 patients (26%) followed by abdominal distension in 12 patients (24%).2% of patients were associated with HIV co-infection, and 12% of patients were associated with Pulmonary Tuberculosis.52% of patients underwent surgical management followed by anti-tubercular drugs,48% cases underwent medical management(ATT). Ileo-caecal region was the most common site of involvement.

Conclusions: Abdominal Tuberculosis was predominantly seen in males. Patients in their 3^rd & 4^th decade of low socio-economic group were most commonly affected. Most of patients were of primary intestinal type and in some it was secondary to pulmonary tuberculosis. Majority of patients underwent surgical management followed by anti-tubercular therapy.

Keywords: Abominal Tuberculosis, anti-tubercular therapy (ATT), HIV, Ileocaecal region, Intestinal obstruction.

1. Peda Veerraju E. Abdominal tuberculosis. In: Satya Sri S, editor. Textbook of pulmonary and extrapulmonary tuberculosis. 3rd Ed. New Delhi: Interprint; 1998 p. 250-2
2. Paustian FF. Tuberculosis of the intestine. In: Bockus HL, editor. Gastroenterology, vol.11, 2nd edition.
3. Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol 1977; 67: 324-371.
4. Bhansali SK, Sethna JR. Intestinal obstruction: a clinical analysis of 348 cases. Indian J Surg 1970; 32: 57-70.
5. Gill, Eggleston FC. Acute intestinal obstruction. Arch Surg 1965; 91: 589-91.
6. Dwivedi M, Misra SP, Misra V, Kumar R. Value of adenosine deaminase estimation in the diagnosis of tuberculous ascites. Am J Gastroenterol 1990; 85 : 1123-5.
7. Balasubramanian R, Ramachandran R, Joseph PE, Nagarajan M, Thiruvengadam KV, Tripathy SP, et al. Interim results of a clinical study of abdom inal tuberculosis. Indian J Tuberc 1989; 36 : 117-21
8. Gulati MS, Sarma D, Paul SB. CT appearances in abdominal tuberculosis. A pictorial assay. Clin Imaging 1999; 23: 51-9.
9. Kedar RP, Shah PP, Shivde RS, Malde HM. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 1994; 49 : 24-9.
10. Bhargava DK, Tandon HD, Chawla TC, Shriniwas, Tandon BN, Kapur BM. Diagnosis of ileocecal and colonic tuberculosis by colonoscopy. Gastrointest Endosc 1985; 31 : 68-70.

Dr A. Harish Kumar

Department of General Surgery, Rajah Muthiah Medical College & Hospital, Chidambaram, India