“Today I certainly believe that every black cloud has a silver lining. Just like darkness and night, all bad things come to an end. Moreover whatever happens is for a reason. My ordeals have not just made be stronger but also optimistic,” shares 22 yr old, Poonam, on her follow up visit with Dr Alok Gupta, Consultant General & Laparoscopic Surgery.
Dr Alok and his team of surgeons at Paras Hospitals, Gurgaon, performed a marathon and complicated surgery to treat Poonam, suffering from Intestinal Tuberculosis.
Poonam started to suffer from severe abdominal pain, loss of appetite and low grade fever. She complained of persistent nausea and vomiting. Regular tests and ultrasounds suggested that she was suffering from appendicitis.
According to Dr Alok, “Her Contrast – CT Scan highlighted thickening of terminal ileum and ascending colon mesenteric lymphadenopathy. Due to the inflammation in the lymph nodes in the abdominal wall, Poonam was experiencing severe abdominal pain and nausea. Colonoscopy revealed unpassable structure in terminal ileum/ascending colon for which minimal invasive surgery was planned. However the biopsy results showed a flip side. It not only highlighted inflammation but lesions of tuberculosis.”
“If a doctor would not have further extrapolated the matter, Poonam would have continued to suffer from persisting conditions. Abdominal tuberculosis masks itself as appendicitis, gastroenteritis and causes various other symptoms that can confuse a clinician and lead to incorrect diagnosis. In 2/3 rd of children, there is predominant involvement of the digestive system. Involvement of the abdominal cavity (peritoneum) occurs in remaining of the patients. Involvement of only the lymph glands in the abdomen is rare. Untreated TB of the intestine may lead to intestinal obstruction, fistula or even abscess and perforation with resultant peritonitis,” adds Dr Alok
To treat the patient the latest scar less minimally invasive laparoscopy procedure was performed. Through a right hemicolectomy the infected area was removed and Poonam was cured of the tuberculosis. She is still on some TB drugs but is now experiencing minimal abdominal pain. “I am thankful to Dr Alok and his team at Paras Gurgaon to ensure that I get back on my feet and become able to lead a pain free life. This ailment had affected my professional and personal life. I could neither study, work or spend time with my friends and family members. I can’t wait to get back home.”