• Mohammad Akbar
  • Fakhar -ul- Islam
  • Irfan Zaffar Haider
  • Danish Naveed
  • Ismail Akbar
  • Irfanuddin Khattak
  • Kehkashan Akbar
  • Arshad Zafar


Background: Acute intestinal obstruction due to tuberculosis is a common surgical problem inour community. Emergency surgery is usually required and surgical procedure depends upon thelocation and extent of the disease. The aim of this study was to determine the commonly involvedregion of intestine and different surgical procedures tailored. Methods: Thirty patients operatedupon for acute intestinal obstruction in emergency with operative and histopathological findingssuggestive of tuberculosis were included in the study. Demographic profile, operative findings,details of surgical procedure, complications and post-op hospital stay were recorded. The patientswere followed for 6 months. Results: Intestinal tuberculosis is more common in young female,with male to female ratio of 1:1.5. Stricture of the small bowel was found in 50% of the cases. Thenext common finding was ileocaecal tuberculosis found in 40% of patients. Strictruplasty wasperformed in 11 (36.33%). The right hemicolectomy, limited ileocaecal resection and segmentalbowel resection with end to end anastomosis were performed in four patients each. Otherprocedures were release of adhesions and bands in 4 patients, ileotransverse bypass in 1 patientand loop ileiostomy in 2 patients. Major complication in 10 patient and mortality rate was 10%.Conclusion: Because of non-specific clinical features, ignorance and malpractice intestinaltuberculosis presents late. Ileocecal tuberculosis is becoming less common as compared to smallbowel strictures. Less radical surgery gives better results. Post operative complications andmortality are related to the perforation of the intestine at the time of surgery.Keywords: intestinal Tuberculosis, Right hemicolectomy, stricturoplasty


Butt T, Karamat KA, Ahmad RN, Mahmood A. Advances in

diagnosis of tuberculosis. [Editorial]. Pak J Pathol


Afshan Z, Akbar M, Qureshi MI. Comparison between

strictureplasty and resection anastomosis in tuberculous

intestinal strictures. J Coll Phy Surg Pak 2003;5:277–9.

Ahmed M, Hanif MS. Varied presentation of abdominal

Tuberculosis Pak Armed Forces Med J 2003;53(2):172–4.

Rajpoot MJ, Memon AS, Rani S, Memon AH.

Clincopathological profile and surgical management

outcomes in patients suffering from intestinal tuberculosis. J

Liaqaut Uni Med Health Sci 2005;4(3):113–8.

Anand SS, Pathak IC. Surgical treatment of abdominal

tuberculosis with special reference to ileocaecal tuberculosis.

Ind J Med Assoc 1961;37(9):423–9.

Wadhwa N, Agarwal S, Mishra K. Reapprasial of abdominal

tuberculosis. J Ind Med Assoc 2004;102(1):31–42.

Channa GS, Khan MA. Abdominal Tuberculosis "surgeons"

perspective. J Surg Pak 2003;8(4):18–22.

Crofton J. The prevention and management of drug

resistance tuberculosis. Bull Int Union Tubrc Lung Dis


Singhai SL, Tandon PL, Hafiz MA. Abdominal Tuberculosis.

Indian J Surg 1964;26:440–5.

Ohri BB, Agarwal VK. Treatment of intestinal tuberculosis. J

Indian Med Assoc 1964;43(3):120–4.

Das P, Shukla HS. Clinical diagnosis of abdominal

Tuberculosis. Br J Surg 1976;63: 941–6.

Bansali SK. Abdominal Tuberculosis experience with 300

cases. Am J Gestroentrol 1977;67:324–37.

Khan C. Abdomianl tuberculosis and its surgical

management. Pak J Gestroentrol 1989;3(1):22–5.

Gondal SH, Gulshan S, Naseeb Ullah. Intestinal Tuberculosis

as an abdominal emergency. Pak Postgrad Med J


Iqbal T, Khan A, Iqbal A, Tahir F. Obstruction due to

intestinal tuberculosis, stricturoplasty versus resection

anastomosis. Pak J Surg 2008;24(3):177–81.

Bentley G, Webster JHH. Gastrointestinal tuberculosis. Br J

Surg 1967;54(20):90–6.

Annand SS. Hypertrphic ileocaecal tuberculosis in India a

record of 50 hemicolectomies. Ann R Coll Surg Engl


Lewis EA, Kolawole TM. Tuberculous ileo-colitis in Ibadan:

a clinicoradiological review. Gut 1972;13(8):646–53.

J Ayub Med Coll Abbottabad 2010;22(2) 175

Ahmad M, Farogh A, Ahmad I, Sohail A, Gill KM, Ahmad

M. Intra-abdominal Tuberculosis. J Surg Pak


Khan SM, Khan KM, Khan AS, Jehanzeb M, Jan WA,

Khan M, Ali U. Presentation of abdominal tuberculosis in

NWFP. and its correlation with operative findings. J

Postgrad Med Inst 2005;19(3):286–91.

Saleem M, Shaukat M, Sharif M, Cheema MA, Iqbal S,

Ahmad M, Sharif K, et al. Abdominal tuberculosis in

children–A profile of 40 cases. Pak Paed J


Mohayuddin QK. Intestinal Tuberculosis Proc. 12th Pakistan

Tuberculosis Seminar 29th Nov to 1st Dec 1974. Tuberculosis

Association, NWFP, 1974.52.

Parkash ATM Intestinal tuberculosis–18 years review. Indian

J Surg 1978;40:56–64.

Dhar GJ, Kirsner JB. Consequences of ileal resection. In:

Nelson and Nyhus (eds), Surgery of small intestine.

California: Apleton & Lange; 1987. p.85–97.

Joshi MJ. Conservative ileocecal resection for diseases of

ileocecal region. Ind J Surg 1976;38:255–60.

Elechi EN. Ileo-ascending colon anastomosis after resection

of terminal ileum and cecum for benign diseases. Tropicl

Doctor 1990;20(3):140–1.

Kumar R, Saddique M, Iqbal P, Khan NA. Abdominal

tuberculosis: clinical presentation and outcome. Pak J Surg


Katariya RN, Sood S, Rao PG, Rao PLNG. Stricturoplasty

for tubercular stricture of the gastrointestinal tract. Br J Surg


Prichard TJ, Schoetz DJ, Caushaj FP, Roberts LP, Marry JJ,

et al. Strictroplasty of small bowel in patients with Crohn’s

Disease. Arch Surg 1990;125:715–7.

Pujari BD. Modified surgical procedures in intestinal

tuberculosis. Br J Surg 1979;66:180–4.



Most read articles by the same author(s)

<< < 1 2 3 > >>