Tuberculosis of gastrointestinal tract is the sixth most frequent form of extra pulmonary involvment, following lymphatic, genitourinary, bones and joints, miliary and meningeal tuberculsois. 5% tuberculosis patients have abdominal tuberculosis and most common site of involvement is ileocaecal region. Inspite of antitubercular drugs and investigative modalities the disease has significant morbidity. Considerably higher morbidity is noted in emergency surgery probably due to inadequate bowel preparation, contamination and fluid electrolyte imbalance. Early diagnosis and treatment, early initiation of ATT, regular follow up along with proper nutrition and education of patients about hygiene and sanitation is the key to success.

Keywords: Tuberculosis; In Surgical Patients; Management.