Résumé
Abdominal Tuberculosis presents to the general surgeon in one of the three forms: 1, intestinal obstruction 2, tuberculous peritonitis 3, abdominal mass. In this report, patients presenting with intestinal obstruction [Acute or sub acute], over a two year period at the Department of General Surgery, Shaikh Zayed Hospital, Lahore, 30 cases were found to have intestinal tuberculosis out of a total 100 cases studied. All patients were diagnosed on exploration with hisopathological evidence of tuberculosis and/or demonstration of A.F.B. in the lesion. The mean age was 34.9 years, male to female ratio 2: 1. 86% of the patients had primary intestinal tuberculosis whereas 14% were considered to be suffering from secondary intestinal tuberculosis. Majority of the patients [66%], had single multiple strictures involving the triminal ileum and ileocaecal region, 20% of the patients were found to have mass in the ileocaecal region and perforation was seen in 14% of the cases. Primary resection of the tuberculous lesion was carried out in 28 patients. Stricturoplasty was performed in the remaining 2 patients. Hospital mortality was zero and major post operative complications were noted in 8% of the cases. The patients received standard anti-tuberculosis treatment for a period of 12 months, follow up record was available on only 26 patients. All 26 patients had completed the anti-tuberculosis medication without any ill effects. No patient had presented with recurrent problem of obstruction