Acute presentation of koch's abdomen in children: Our experience

• DOI: 10.4103/ajps.ajps_91_16
• Publication Date: 2024-05-29T11:22:06Z
• Authors: Basant Kumar; VijaiDutta Upadhyaya; SandeepKumar Rahul; LaxmiKant Bharti; RamNawal Rao; Sheo Kumar
• Keywords: Abdominal distension; Acute abdomen

To analyse our experience with acute presentations of abdominal tuberculosis (TB) in children for early diagnosis and management.From December 2010 to April 2016, available electronic operation theatre (OT) records 17 patients confirmed TB were analysed retrospectively. Parameters reviewed age, sex, presentations, diagnostic investigations, surgery/intervention performed, final outcome follow-up.Out patients, 6 (35.3%) already operated elsewhere. The duration symptoms ranged from 4 58 weeks. Abdominal pain was present all cases whereas 11 (64.7%) had distension, 16 (94.1%) fever, 14 (82.3%) ascites, 9 (52.9%) vomiting, weight loss, anorexia (23.5%) night sweat. All needed surgical intervention definitive diagnosis. Thirteen (76.5%) out managed by staged surgery primary anastomosis/repair/adhesiolysis done patients. main post-operative problems wound infections (8; 47.1%), subacute bowel obstruction (6; 35.3%) chest (12; 70.6%). Follow-up period 3 months 5.5 years.Abdominal should always be considered differential presenting pain/distension, fever ascites or abdominopelvic mass. Recurrent anastomotic disruptions also give clues its A careful history illness, high index suspicion, ascitic fluid adenosine deaminase polymerase chain reaction Mycobacterium Prompt minimal interventions, preferred diversion over anastomosis, algorithmic vigilant care antitubercular treatment required success crisis.