• Dr. Pawan Bansal
• Dr.Mahesh Kumar Choudhary
• Dr Vinita Bansal

Abstract Background: Abdominal tuberculosis is a diagnostic and therapeutic challenge for clinicians and surgeons. The vague clinical presentation is a barrier to early diagnosis. The study aims to highlight the role of surgery in the diagnosis and treatment of abdominal tuberculosis. Methods: This is a descriptive study of abdominal tuberculosis cases, which were operated in the Department of Surgery, Rajmata Vijayaraje scindia medical college, bhilwara from September 2017 to July 2020. Total 30 Cases were analyzed in terms of Demography, HIV status, Mode of presentation, Per-operative pathology, and surgical procedure. Results: Out of 30 cases total 3 cases (10%) were found HIV positive, disease is present in both sex and all age groups. 7 patients were presented as emergencies i.e perforation peritonitis and rest 23 cases were presented as acute and chronic intestinal obstruction. On exploration per-operative pathology found were band adhesion (30 %) , strictures(26%), perforation(23%) , milliary tuberculosis(16%) and one case of cocconization. Conclusions: The abdomen is one of the common sites of extra-pulmonary involvement. Management involves judicious combination of anti-tubercular therapy and surgery which may be required to treat complications such as intestinal obstruction and perforation.

Keywords: Abdominal tuberculosis, Intestinal stricture, Bowel perforation, cocconization.

"Surgical challenges in Abdominal Tuberculosis: A study in a newly established tertiary care center of Rajasthan", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 9, page no.533-536, September-2020, Available :http://www.jetir.org/papers/JETIR2009070.pdf

"Surgical challenges in Abdominal Tuberculosis: A study in a newly established tertiary care center of Rajasthan", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 9, page no. pp533-536, September-2020, Available at : http://www.jetir.org/papers/JETIR2009070.pdf