Mass In Right Iliac Fossa Research Articles

Clinico-patho-radiological study of mass in the right iliac fossa

Abstract Background: Sparse recent data are available regarding the aetiological causes of the right iliac fossa (RIF) mass from Andhra Pradesh. Methods: We prospectively studied the clinical presentation, diagnosis and management of consecutive cases (n = 100) presenting to our tertiary care teaching hospital with a RIF mass over 2 years. Results: Majority of RIF masses were seen in the third and fourth decades of life, and the male-to-female ratio was 2.8:1; 64% of the cases were due to appendicular pathology (appendicular mass [48%] and appendicular abscess [16%]), followed by ileocaecal tuberculosis (TB) (12%) and carcinoma caecum (10%) among others. Carcinoma caecum was more common in males (70%) as compared to females (30%). The majority (78%) were managed surgically; 4% died. Post-operative complications included wound infection and respiratory tract infection. Conclusions: Our observations suggest that appendicular pathology, ileocaecal TB and carcinoma caecum are common aetiological causes for RIF mass. Abdominal ultrasonography and computed tomography will facilitate early localisation.

A RIGHT ILIAC FOSSA MASS - A PERFORATED ILEAL GASTRO-INTESTINAL STROMAL-TUMOUR

GASTRO-INTESTINAL STROMAL-TUMOURs (GASTRO-INTESTINAL STROMAL-TUMOURs) are tumours of the gut found mostly in stomach and small intestine. The complications are Gastrointestinal (GI) bleeding, obstruction, pain and rarely perforation. We are reporting an abnormal presentation of GASTRO-INTESTINAL STROMAL-TUMOURS presenting as an acute abdomen pain with Right Iliac Fossa (RIF) mass in 57-year-old male. Contrast Enhanced Computed Tomography (CECT) of abdomen revealed a peripherally enhancing encapsulated abscess in RIF close to the base of caecum and surrounding peritonitis suggesting a caecal perforation. On laparotomy, a perforated ileal GASTRO-INTESTINAL STROMAL-TUMOURS was identified. Pathological examination confirmed the tumour to be a GASTRO-INTESTINAL STROMAL-TUMOUR of spindle cell type, further reiterated by immunohistochemistry. Our case report emphasizes, GASTRO-INTESTINAL STROMAL-TUMOUR are a rare differential diagnosis of RIF mass, and to have high clinical suspicion when a similar case is encountered in an emergency room, keeping in mind the poor outcome caused by delay in appropriate management of the disease.

Diagnostic Challenges in Right Iliac Fossa Mass Caused by a Fish Bone

Right iliac fossa (RIF) mass is a common condition seen by surgeons. Despite advances in diagnostic modalities, it remains a diagnostic and therapeutic challenge, hence many authors describe RIF mass as temple of surprises. We report a challenging case of a 35-year-old man whopresented with a tender RIF mass. Abdominal ultrasonography (USG) and computed tomography (CT) scan abdomen were done and he was treated nonsurgically. His symptoms recurred after one month and a CT scan abdomen was repeated which revealed a suspicious foreign body within the appendicular mass. Laparotomy was performed which showed a macerated appendix with a 4-cm long fish bone within. The role of diagnostic tools in managing RIF mass and the treatment modality of appendicular mass are discussed. In managing RIF mass, a surgeon must be aware of thevarious differential diagnoses, but common diagnosis should always be entertained. Multi-modal diagnostic tools must be considered, including serial imaging in different planes.
 Keywords: Appendicitis, Right iliac fossa mass, Fish bone

Perforated appendicitis: Can it be a bedside diagnosis?

Appendicitis remains one of the most common causes of acute abdomen worldwide. It presents as a spectrum of disease ranging from an acutely inflamed appendix to a perforated one. Where acutely inflamed can be managed conservatively, a perforated appendix always needs surgery to prevent complications like pelvic abscesses. Bedside diagnosis remains relevant in our setup. Objectives: To determine whether history, clinical examination, and basic laboratory investigations can help in confident bedside diagnosis of perforated appendicitis especially in the absence of sophisticated diagnostic modalities. Study Design: Retrospective Case-control study. Setting: Surgical Unit-1, Holy Family Hospital. Period: Jan 2016 to Dec 2016. Material & Methods: Conducted at Hospital records of patients who underwent open appendectomy in the year 2016 were reviewed. Two groups of 100 patients each were made based on per operative findings. Appendices having macroscopic holes in the base or tip were labeled as perforated. Group A had acutely inflamed appendix and group b had perforated appendix. Patients’ demographic details were taken from hospital admission tickets. Findings of history and examination were retrieved from treating resident and operating surgeon's notes. Data were analyzed through SPSS. Results: Out of 200 patients the total number of males was 102 (51%) and females were 98 (49%). Mean age was 24.13+9.73 in males and 18.7+ 6.4 in females of group A and 26.0+10.1 in males and 20.56+7.53 in females of Group B. Group B showed a significant delay in presentation to emergency after the onset of pain (P = 0.022). Upon history and clinical examination, the presence of anorexia, malaise, generalized abdominal pain, guarding, mass in right iliac fossa were significantly associated with perforation. Whereas gender, fever, vomiting, and dysuria showed no association with perforation. Conclusion: Bedside conventional methods of history taking and examination remain a useful tool in anticipating perforated appendicitis. This helps surgeons in planning incisions and prioritizing patients on heavy operating lists. This remains especially relevant in resource-constrained setups where sophisticated modalities like CT scans are largely unavailable.

An unusual case of type II spontaneous gallbladder perforation presenting as a right iliac fossa mass.

Spontaneous gallbladder perforation (GBP) is a very rare clinical condition which is mostly associated with calculous cholecystitis. Neoplastic growths at ampulla of Vater usually present with progressive symptoms and are rarely associated with GBP. Type II GBP presents as a localized collection and abscess formation at the site of the perforation, but unusual presentation can be found. Definitive diagnosis in elderly patients presenting with a mass in the right iliac fossa (RIF) region could be quite difficult due to the wide range of potential pathologies of the different anatomical organs present there. Here we discuss an unusual presentation of GBP secondary to periampullary growth presenting as a RIF mass. An 84-year-old female presented with a history of right side lower abdominal pain and fullness for a period of about a month. She also complained of dyspeptic symptoms for roughly the same duration. She underwent contrast enhanced computed tomography (CECT) of the abdomen as an initial investigation which revealed a collection in the RIF region from GBP, and a periampullary growth causing complete obstruction of the biliary tract. Ultrasound guided drainage of RIF collection followed by Endoscopic Retrograde Cholangio-Pancreaticogrphy (ERCP) and stenting of the common bile duct (CBD) was arranged as palliative treatment, since patient was unfit for major therapeutic intervention, i.e. pancreatico-duodenectomy. This case illustrates the importance of cross-sectional imaging in the evaluation of patients with RIF masses, especially when they are not in the typical age for appendicular masses, and also highlights the variety of unusual pathologies that could possibly give rise to such mass lesions.

Primary appendectomy in appendicular masses of children: an institutional experience

Background: Early appendectomy (EA) for appendicular mass (AM) has been found to be a safer alternative in various studies in adults, while very few studies report such advantages in pediatric population. The purpose of this study was to assess the safety, efficacy and practical implications of EA in pediatric patients with AM.Methods: All patients with acute appendicitis or its complications that underwent EA between January 2016 and December 2018 were retrospectively reviewed. AM was defined if any or combination of the following criteria were satisfied with other signs of appendicitis: palpable mass in right iliac fossa (RIF), sonologically identified mass in RIF, per-operatively confirmed as a mass by surgeon.Results: 37 patients (among a total of 642 patients) were determined to have AM per-operatively and were included in the analysis. 29.7% (n=11) had a contained appendicular abscess. Age group ranged from 4-12 years (mean 7.8 years). The key per-operative findings were fecolith (21.6%), gangrenous appendix (56.8%), difficult adhesiolysis (48.6%), and full thickness bowel injury (2.7%). Postoperatively, wound infection in 9 (24.3%), intra-abdominal abscess in 1 (2.7%), prolonged ileus in 2 (5.4%) and sepsis in 2 (5.4%) were managed medically.Conclusions: EA approach in AM is a safe option in children as it avoids misdiagnosis, treats complicated appendicitis early, avoids second admission, and has shorter hospital stay with better compliance. Failures of non-operative management and potentially lethal complications of complicated appendicitis are also eliminated.

Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region

One of the most common problems experienced in surgical practice, which challenges the surgeon and needs the ability to diagnose through knowing the anatomy and pathological process that can occur inside the abdomen, is a mass in the right iliac fossa. The purpose of this research was to examine clinical appearance, differential diagnosis and treatment methods for patients with the right iliac fossa.Study was carried out in the Dept. of General Surgery at Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha , Maharashtra , between August 2018 to December 2019. 43 patients with signs and symptoms of right iliac fossa mass were studied by taking detailed clinical history, physical examination, and were subjected to various investigations.In the present study appendicular mass constituted 60.46%, appendicular abscess 09.30% ,ileocaecal tuberculosis 06.97 % , carcinoma caecum 13.95 % , intussusseption02.32%. Patients presented with constitutional symptoms like pain , fever , vomiting , weight loss.Appendicular lump remains the most common entity in right iliac fossa mass patients. Ileocaecal tuberculosis is one of the most common differential diagnosis to be considered for pain abdomen evaluation in rural population. Conservative treatment followed by interval appendicectomy remains the main management modality in appendicular lump. The rare cause of mass in right iliac fossa as intussusception should be kept in mind.

Clinico pathological study of right iliac fossa masses and their management

Aim: The present study aims to study causes, modes of presentation, investigations of choice and management of right iliac fossa masses. Materials and Methods: A prospective study was undertaken on 50 patients presenting with mass in right iliac fossa to surgery outpatient department during the period august 2015 to October 2017. All cases were investigated and managed as per protocol and their data recorded. All the demographic variables were tabulated as per percentage among total cases. Results: In this series out of 50 patients, 23 patients (46%) diagnosed to have Appendicular mass followed by Ileocaecal TB (20%), Appendicular abscess (16%), CA Caecum (12%) and psoas abscess (6%). Appendicular pathology is more common in 3rd decade, Ileocaecal TB in 4thdecade, CA Caecum and Psoas abscess in 6th decade.In total of 50 patients, 28 (56%) were males and 22 (44%) were females. In the present study pain was the commonest symptom of presentation seen in all cases, fever was present in 78% cases, vomiting was present in 42% cases, loss of weight and appetite was present in 24% cases, constipation was present in 16% cases, diarrhea was present in 8% cases, mass per abdomen was present in 26% cases. Conclusion: The common cause of right iliac fossa mass is of appendicular pathology followed by lleocaecal TB, Carcinoma caecum and psoas abscess in that order, with male preponderance and most of cases falling in 3rd decade.

Clinical study of right iliac fossa mass: experience at a rural hospital

Background: Objectives of present study was to study the clinical profile, different modalities of investigation and various modes of management for Right Iliac Fossa (RIF) mass at a rural hospital, A.V.B.R.H.Methods: Total 86 cases of RIF mass were studied prospectively for 4 years from August 2013 to September 2017. Patients above the age of 10 years presenting with a mass in RIF associated with acute/chronic abdominal conditions and incidentaly found mass in RIF on examination and investigation were included in the study. Patients with abdominal wall/bony swellings of the region and gynaecological causes of RIF mass were excluded. After detailed history and clinical examination, patients were subjected for different investigations to establish pathological diagnosis and treated accordingly.Results: 69.76% cases with RIF mass were related to appendicular pathology. Of these 60.48% were appendicular mass and 9.3% were appendicular abscess. 13.95% cases were Carcinoma Caecum, 6.97% cases were Ileo-caecal Tuberculosis, 6.97% were of ilio-psoas abscess and 2.32% cases were of Intusussception. Mean age of RIF mass was 37.41 years with a male preponderence of 1.4:1. Pain in abdomen was the commonest symptom. 16.28%(14) cases were treated conservatively and 83.72%(72) were treated surgically.Conclusions: Most common cause of RIF mass is appendicular lump (60.46%) among various other pathologies. Pain in abdomen is the commonest presenting symptom. Interval appendectomy should be considered essential as the incidence of recurrence of appendicitis and mass formation is high after conservative treatment. Detailed history and thorough clinical examination is of utmost importance to reach the correct clinico-pathological diagnosis of RIF mass.

Castleman disease: Case series of two surgical patients from different ends of the disease spectrum with literature review

Castleman Disease (CD) is a rare, heterogeneous group of hyperimmune lymphoproliferative disorders, not very familiar to surgeons. Unicentric Castleman Disease (UCCD) at one end of the spectrum is a localized disease, with little or no systemic symptoms. It may be an incidental radiological finding or detected while investigating for a symptomatic lymph node mass. Surgery is the primary treatment and has good long term prognosis.Multicentric Castleman Disease (MCCD) is a more serious systemic condition, often associated with constitutional symptoms. Exaggerated systemic inflammatory response secondary to “Cytokine storm” involving Interleukin-6 (IL-6) may cause multi-organ dysfunction. In addition, immunosuppression or malignant transformation can prove lethal. Human Herpes Simplex Virus 8 (HHV8) associated MCCD is a major subgroup occurring in immunocompromised individuals due to the viral trigger. Antiviral therapy is important in its treatment. Idiopathic MCCD (IMCCD) has no known biomarker and is diagnosed after excluding infective, autoimmune and malignant conditions of lymphoid tissue. IMCCD requires systemic therapy.We report a patient of UCCD who presented as a retroperitoneal mass in right iliac fossa causing pressure on femoral nerve. Following successful surgical excision she had good recovery. We report another patient who had large inguinal lymph node mass with constitutional symptoms. IMCCD was diagnosed after excision biopsy and comprehensive work up. Patient was started on corticosteroids followed by CD-20 targeted therapy.These two cases showcase the two ends of the clinical spectrum of CD requiring different management protocols. Awareness among surgeons and diligent work-up is imperative for early diagnosis and best outcome.

Evaluation of various symptoms in subjects with mass in right iliac fossa

Background:Mass in right iliac fossa is a very common condition a surgeon will come across in day to day practise. This study was aimed at assessing various symptoms with which subjects with mass in right iliac fossa present to clinician.Methods: 50 eligible subjects admitted in K. R. Hospital who were diagnosed to have mass in right iliac fossa clinically or radiologically were selected after informed valid consent. A proper history, thorough clinical examination and relevant investigations were done to diagnose the pathology. Various symptoms were assessed.Results:In our study, the various conditions which presented as mass in right iliac fossa were appendicular mass (42%), appendicular abscess (16%), ileocaecal tuberculosis (24%), carcinoma caecum (14%), ileopsoas abscess (4%). Various symptoms with which subjects presented were pain abdomen (88%), fever (78%), vomiting (30%), mass per abdomen (28%), weight loss (38%), bleeding per rectum (12%) and bowel disturbances (16%). Appendicular pathology was most common cause in younger age group and carcinoma caecum and ileocaecal TB was more prevalent in older age group.Conclusions:Various symptoms with which subjects presented were pain abdomen, fever, vomiting, mass per abdomen, weight loss, bleeding per rectum and bowel disturbances. Pain abdomen was the most common symptom in subjects with mass in right iliac fossa. Mass per abdomen as a symptom was found in 28% of the subjects.

CARCINOMA OF CAECUM;

Objectives: To determine the frequency, clinical presentation and managementstrategies for carcinoma of caecum among pathologies in right iliac fossa excludinggynaecological disorders at Liaquat university hospital Hyderabad / Jamshoro. Study Design:Cross sectional multi-disciplinary study. Period: Thirty months. Setting: Liaquat UniversityHospital Hyderabad / Jamshoro. Patients and Methods: All the patients presented with GIsymptoms, intestinal obstruction, and appendicitis or had mass in the right iliac fossa wereselected and recruited and further evaluated for existence of carcinoma of caecum andpreceded for management strategies. The data was analyzed in SPSS 16 and the frequencyand percentage was calculated and the level of significance was p-value ≤0.05. Results: Total50 patients were diagnosed as caecum cancer during thirty months study period. The cancerof caecum was common in older age group. The mean age ± SD for whole population andmale as well as female gender was 67.53±6.98, 66.32±8.75 and 65.34±5.96 and of fifty cases,thirty two (64%) were males and eighteen (36%) were females respectively. The commonpresentation identified was mass in right iliac fossa in 28 patients (p=0.03) while the commonoperative procedure performed was ileotransverse anastomosis with right hemicolectomy in 34patients which is non-significant in relation to age (p=0.7) whereas it was significant in contextto gender (p=0.04) respectively. Conclusion: The common presentations for carcinoma ofcaecum detected was right iliac fossa mass while the predominant age, gender and operativeprocedure performed were seventy plus years, male gender population and Ileotransverseanastamosis with right hemicolectomy.

RIGHT ILIAC FOSSA MASS

Objectives: To determine the frequency and clinical pattern of mass in rightiliac fossa. Study Design: Cross sectional multicenter study. Period: One year (from 03 March2014 to 02 March 2015). Setting: Patients with right iliac fossa mass of >11 years of and ofeither gender admitted in department of surgery at Liaquat university hospital Hyderabad /Jamshoro and Peoples University Hospital Nawabshah. Patients and methods: The data wasanalyzed in SPSS 16 and the frequency and percentage was calculated. Results: During oneyear study period, out of 227 patients, 112 subjects were observed to have right iliac fossa massdue to different etiologies, of which 82(73.2%) were males and 30 (26.8%) were females. Themean age ±SD for overall population was 39.32±8.66 while it was 37.88±6.75 and 38.93±7.72in male and female population respectively. The male population was predominant while thepatterns observed were appendicular mass in 19(17%), appendicular abscess in 26(23.21%),ileocaecal tuberculosis in 38(34%), carcinoma caecum in 14(12.5%), psoas abscess in 5(4.46%)and others in 10(9%) respectively. Conclusion: The highest incidence of mass in the right iliacfossa was seen in second, third and four decades with male population predominance. Thecommon disorders identified were ileocaecal tuberculosis, appendicular mass and abscessand carcinoma caecum respectively

Study of Mass in Right Iliac Fossa

Mass in right iliac fossa is one of the most common condition seen in surgical practice which has various differential diagnosis with most of them being curable. The objective of the study is to identify various diseases which can present with mass in right iliac fossa . This is a study conducted on patients having mass in right iliac fossa admitted in Shadan hospital over a period of two years. 60 patients(30 male and 30 female) with the provisional diagnosis of right iliac fossa mass was included in the inclusion criteria and patients with masses arising from parietal wall, children below 10 years of age, pregnancy and any bony swelling in the region were excluded after radiological assessment. Most of the right iliac fossa masses seen were of appendicular pathology followed by ileocaecal tuberculosis. 70% of the cases were related to appendicular pathology either appendicular mass or abscess, ileocaecal tuberculosis 16.6% and amoebic typhlitis the least .

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Objectives: To determine the frequency and clinical pattern of mass in rightiliac fossa. Study Design: Cross sectional multicenter study. Period: One year (from 03 March2014 to 02 March 2015). Setting: Patients with right iliac fossa mass of >11 years of and ofeither gender admitted in department of surgery at Liaquat university hospital Hyderabad /Jamshoro and Peoples University Hospital Nawabshah. Patients and methods: The data wasanalyzed in SPSS 16 and the frequency and percentage was calculated. Results: During oneyear study period, out of 227 patients, 112 subjects were observed to have right iliac fossa massdue to different etiologies, of which 82(73.2%) were males and 30 (26.8%) were females. Themean age ±SD for overall population was 39.32±8.66 while it was 37.88±6.75 and 38.93±7.72in male and female population respectively. The male population was predominant while thepatterns observed were appendicular mass in 19(17%), appendicular abscess in 26(23.21%),ileocaecal tuberculosis in 38(34%), carcinoma caecum in 14(12.5%), psoas abscess in 5(4.46%)and others in 10(9%) respectively. Conclusion: The highest incidence of mass in the right iliacfossa was seen in second, third and four decades with male population predominance. Thecommon disorders identified were ileocaecal tuberculosis, appendicular mass and abscessand carcinoma caecum respectively

Evaluation of RIF masses: Is Ultrasonography the First Investigation of Choice?

This is a prospective study of sonographic evaluation of 102 patients with right iliac fossa (RIF) masses which includes patients of all age groups and both sexes. In this study the efficiency of ultrasound (US) in diagnosing presence of various RIF masses, the clinico sonographic spectrum of RIF masses, accuracy of US in comparison to clinical assessment in the determination of the organ of origin and pathological nature of RIF mass by Ultrasonography (USG) were evaluated in a systematic manner. The maximum number of cases belonged gastrointestinal pathology (53%) followed by genitourinary pathologies (32%) and 15% cases belonged to non-Gastrointestinal (GI) non-Genitourinary (GU) origin. US is superior to clinical assessment in detecting the organ of origin in RIF masses especially in cases of genitourinary and non-GI non-GU cases. US has high diagnostic accuracy in diagnosing the pathological nature of RIF masses (over all accuracy-92%) while it is 100% accurate in case of appendicular mass, in detecting normal cases, normal variants( clinically diagnosed as RIF masses) , uterine mass, lymphnodal mass and ileocolic intussuception. USG had 100% sensitivity, specificity, positive and negative predictivity and accuracy in detecting presence of mass in the present study. US avoided unnecessary intervention in management in patients with right iliac fossa and is a safe, easily accessible, cost effective and non-invasive imaging modality in providing prudent knowledge of pathology thus, enabling the clinician to make baseline diagnosis. Therefore we propose USG to be the first investigation of choice in evaluation of RIF‟s masses.

Appendicular band syndrome mimicking appendicular mass in an adult

Appendicular band syndrome is an exceedingly rare surgical emergency that may lead to intestinal obstruction and strangulation. We report a case of 28 years old male who presented with acute intestinal obstruction with a mass in right iliac fossa (RIF). At exploration, an inflamed appendix had entrapped a loop of terminal ileum leading to its strangulation and gangrene. The appendectomy and resection of gangrenous gut were done with ilio-ileal anastomosis.

Demographic data comparison of prevalence of mass in right iliac fossa: a prospective hospital based study

Mass in the right iliac fossa is one of the commonest problems faced in surgical practice. The present study was conducted to find the incidence of mass in patients attending surgery department. A total of 50 cases were included in the study. Their demographic data was collected and analysed to find the incidence of mass in right iliac fossa. The results showed a high incidence of appendicular mass (44%) with male preponderance; followed by ileocaecal tuberculosis and carcinoma of caecum. The incidence of appendicular mass was highest in the age of 21-30 years. Appendicular abscess and ileocaecal tuberculosis showed highest incidence in the age group of 31-40 years. In the age group of 51-60 years carcinoma of caecum was observed the most. Several factors like age, gender, food habits and occupation caused the development of mass in the abdomen. Coolies and agriculturists were more prone to development of mass in the right iliac fossa.

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AIMS AND OBJECTIVES: Mass in the Right Iliac Fossa (RIF) is clinically difficult to differentiate, ultrasonography a quick non-invasive investigation has bridged the gap between clinical examination and direct visualization. The study was done to know the efficacy of ultrasonography in pre operative evaluation of RIF mass. MATERIALS AND METHODS: The data for this prospective study was obtained from 300 patients admitted/ attending OPD with a clinical diagnosis of RIF mass. Ultrasonography was done and a provisional diagnosis was obtained. The final diagnosis was obtained with histopathological examination(HPE) or by other standard methods. The sonological diagnosis was compared with final diagnosis. RESULTS: Out of 300 patients studied 236 were operable. Ultrasonography was able to diagnose 228 out of the 236 (Sensitivity of 96.7%) as operable cases and the remaining eight were inconclusive report. Ultrasonography was able to rule out all non operable cases with 100% specificity. The final diagnosis correlated with sonological diagnosis in 284 cases with sensitivity of 94.6% while clinical diagnosis correlated with final diagnosis in 232 cases with sensitivity of 77.3%.The most common conditions being appendicular mass followed by appendicular abscess and ileocaecal TB. DISCUSSION: Thus ultrasonography in experienced hands is an invaluable tool for preoperative evaluation of RIF mass. It has favorable sensitivity and specificity in differentiating RIF mass and 100% sensitivity and specificity in detecting cases which needs emergency intervention. In countries like India where other radiological investigation modalities are present only in higher center, ultrasonography becomes an invaluable tool in diagnosis and evaluation of RIF mass for practitioners in semi-urban and rural settings.

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BACKGROUND: Abdominal Tuberculosis remains a major health problem in the developing countries especially in Indian subcontinent. Abdominal tuberculosis is a disease which has no clear clinical features even after a complete range of investigations. Thus, a high index of clinical suspicion is required to establish a diagnosis. Tuberculosis of GI tract accounts for 50% of all gastrointestinal cases. MATERIAL AND METHOD: The study was conducted in the Department of Surgery, Chirayu Medical College and hospital Bhopal from January 2011 to August 2013 to assess the clinical presentation management and outcome of abdominal tuberculosis. All patients with clinical features suggestive of abdominal tuberculosis were included in the study. Records of the patients were retrieved and reviewed to measure parameters of age, gender, socio-economic status, mode of presentation, operative findings, hospital stay and complications. The diagnosis of abdominal tuberculosis was confirmed by histopathology. RESULTS: A total of 51 patients were included in the study. Out of these, 26 patients (62%) were male and 25 patients (38%) were female. 21 patients (41.17 %) presented with acute while 30 patients (58.82 %) presented with chronic onset of disease. Intestinal obstruction was seen in 11 (21.56%) patients and perforation peritonitis was present in 10(19.60%) patients. Subacute intestinal obstruction was seen in 23(45.09%) cases. 4 patients (7.8%) presented with mass in right iliac fossa. 27 patients (52.94%) were treated conservatively while rest of them 24 (47.0%) underwent laparotomy. Grossly ileum was involved in 17 cases (9perforation and 8 stricture).During hospital course, 15 (29.41%) patients had post operative wound infection, 2(3.92%) had burst abdomen and 1(1.90%) had faecal fistula. Histopathological confirmation of tuberculosis was done in 72.54 % of cases. All patients were prescribed anti tuberculosis drugs for 12 months duration. Mean hospital stay was16 ± 14.67 days. CONCLUSION: Abdominal tuberculosis is a disease that is frequently overlooked, with consequent delay in treatment. As a treatable condition, abdominal TB should be considered early in the differential diagnosis of abdominal symptoms in our country. Failure to recognise this disease early may lead to increase morbidity and mortality, as many of the patients need surgical intervention and prolonged hospitalization in addition to chemotherapy with anti tuberculosis drugs.