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Case Studies | Surgery | India | Volume 12 Issue 12, December 2023
The Efficacy in Optimizing Outcomes of Minimally Invasive Surgery for Management of Intra-Abdominal Abscess in Koch's Abdomen - A Case Report
Sandeep Verma [2] | Vidit Vidit | Gaurav [148] | Rituparna [7] | Bhavinder K Arora [2]
Abstract: Tuberculosis is a global health problem. The diagnosis of abdominal tuberculosis (Koch?s abdomen) remains one of the most challenging tasks in clinical practice, clinicians worldwide are faced more and more with such unfamiliar cases. Most of the patients present with chronic abdominal pain, pronounced weight loss and fever with night sweats diagnosed with Koch?s abdomen along with positive tuberculosis specific tests. These patients well managed with Anti tubercular therapy with regular laboratory biochemical monitoring. A few of them develop complications like perforation peritonitis, intra-abdominal abscess, peritoneal nodules, intra peritoneal and bowel adhesions. Traditionally, they were managed by open surgeries but with evolution of minimal invasive surgeries such as laparoscopic either for diagnostic or therapeutic purpose for favourable outcomes and reducing morbidity. We are presenting this case report of a favourable outcome of a young lady presenting with Koch?s abdomen with intra-abdominal collection managed by a minimal invasive approach.
Keywords: Koch's abdomen, perforation peritonitis, intraabdominal collection, adhesinolysis, diagnostic laparoscopy, intraabdominal infection
Edition: Volume 12 Issue 12, December 2023,
Pages: 2031 - 2036