Journal of AdvancedMedical and Dental Sciences Research

Background:-Tuberculosis, designated a global emergency by the World Health Organization (WHO), stands as the most crucial communicable disease worldwide. While it can affect any bodily system, the abdomen ranks among the most frequent sites of infection after the lungs. The focus extends to exploring various management approaches and outcomes related to these cases. Methods:Conducted in the upgraded department of general surgery, this retrospective study spans three years and encompasses 20 patients who presented with Intestinal Obstruction due to Tuberculosis. In cases of intestinal obstruction originating from Tuberculosis, the most common presenting complaint among the 20 patients was abdominal pain lasting 3-4 weeks at the time of presentation. Results:Out of the 20 patients, 11 underwent surgery. Among these surgically treated patients, the majority exhibited mesenteric thickness, mesenteric lymph node enlargement, and adhesions.Adhesionolysis emerged as the most frequently performed procedure among the operated patients, with stricturoplasty being undertaken in two out of the ten patients with strictures. Additionally, in three patients presenting with an ileo-caecal mass, an ileo-transverse bypass procedure was performed in two cases. Bowel obstruction resulting from intestinal tuberculosis is identified as a prevalent abdominal surgical emergency, significantly contributing to elevated morbidity and mortality rates.Key features of the disease include a younger age at presentation, delayed presentation, and high morbidity and mortality. Conclusion:Maintaining a high index of suspicion, conducting thorough evaluations, and implementing therapeutic trials in suspected patients are deemed essential for achieving early diagnosis and timely definitive treatment. These measures are crucial in mitigating the morbidity and mortality associated with this disease.