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Abdominal Koch

Did ct abdomen for pain in right iliac fossa which had finding of IC junction circumferential thickening of 13mm noted for a length of 27mm. Now I am under Anti tubercular drugs.I have doubt should I undergo hemicolectomy or undergo conservative treatment of medication? Can abdominal Koch's be treated with only Anti tubercular drugs?
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Dr. Vinay Kumaran
GastroIntestinal Surgery 24 yrs exp Delhi
Surgery would be required only if there is intestinal obstruction. Otherwise treatment with antiubercular drugs should suffice.
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