Study of Intestinal Obstruction due to Tuberculosis: A Retrospective Study

Abstract

Background: Intestinal tuberculosis is an important form of extrapulmonary tuberculosis and remains a major health
concern in developing countries. The ileocecal region is the most commonly affected site, and complications such as
intestinal obstruction frequently require surgical intervention. Early diagnosis and appropriate management are essential
to prevent morbidity.
Aim: To evaluate the clinical presentation, radiological findings, management strategies, and outcomes of patients with
intestinal obstruction due to tuberculosis.
Methods: A retrospective observational study was conducted at Rajendra Institute of Medical Sciences (RIMS), Ranchi,
from January 2024 to January 2026. Medical records of 40 patients diagnosed with intestinal obstruction secondary to
tuberculosis were analyzed. Demographic characteristics, clinical presentation, radiological findings, operative procedures,
and postoperative outcomes were evaluated. Statistical analysis was performed using SPSS software.
Results: Among 40 patients, the majority belonged to the 21–40 year age group (45%). Males constituted 57.5% of cases.
Abdominal pain (92.5%) was the most common symptom followed by vomiting (72.5%). The ileocecal region was the
most frequently involved site (50%). Surgical management was required in 70% of patients, while the remaining were
treated conservatively. Postoperative complications occurred in 17.5% of cases.
Conclusion: Intestinal tuberculosis remains a significant cause of intestinal obstruction in endemic regions. Early
recognition, combined with appropriate surgical management and antitubercular therapy, is crucial for improved patient
outcomes.