DOI: 10.36347/sjams.2018.v06i09.070

Pages: 3582-3589

Abdominal tuberculosis is a most common type of extra-pulmonary tuberculosis. So it is thought worthwhile to study the various clinical presentations of abdominal tuberculosis, its evaluation and diagnosis with the help of CT scan as diagnostic imaging modality so that early diagnosis and early initiation of anti-tuberculosis treatment can be made. Aims of the study was to evaluate the role of CT scan as a diagnostic imaging modality in diagnosis of abdomen tuberculosis and to correlate the CT scan findings with either FNAC or histopathology of the tissues. Aproximately 30 patients which fitted into our criteria were taken into the study over a period of 2 years. All investigations biochemical, radiological and FNAC/Histpathology of tissues were done and the datas were recorded and a correlation of the above parameters was done. Out of 30 patients 27(83.3%) of the cases had findings suggestive of tuberculosis through CECT scan. Thus enlarged mesenteric lymph nodes (76.6%) were the most common finding of CECT scan. (p=0.002). 7% of the cases were found positive by both CECT scan and FNAC/HPE. 25(76.6%) of the cases were found positive through FNAC/ HPE (p<0.001).Out of the 6 cases for whom surgery was done, in most of the cases ileo-caecal mass (50.0%) was removed CECT suggestive of abdominal tuberculosis is usually positive in most patients. Surgery can be avoided in most of the cases with CECT scan findings suggestive of abdominal tuberculosis.