Abstract
Intra-abdominal tuberculosis remains a significant health hazard in the developing countries. In countries where sophisticated medical facilities are not easily available, laparoscopic examination of intra-abdominal organs is helpful. In this study, 22 patients were found to have peritoneal tuberculosis out of 82 laparoscopic examinations. The major clinical presentation in these patients were abdominal pain, weight loss, fever and ascites. Tuberculin test was not always positive. Direct visualization of the peritoneum and obtaining peritoneal biopsies provide the definitive tissue diagnosis to confirm the clinical diagnosis.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Al-Freihi H. M., Al-Mohaya S. A., Ibrahim E. M., Al-Idrissi H. Y., Baris I. Extrapulmonary tuberculosis: diverse manifestations and diagnosis challenge. East Afr Med J. 1987 May;64(5):295–301. [PubMed] [Google Scholar]
- Cook G. C. Tuberculosis--certainly not a disease of the past! Q J Med. 1985 Sep;56(221):519–521. [PubMed] [Google Scholar]
- Evine H. Needle biopsy diagnosis of tuberculous peritonitis. Am Rev Respir Dis. 1968 May;97(5):889–894. doi: 10.1164/arrd.1968.97.5.889. [DOI] [PubMed] [Google Scholar]
- Geake T. M., Spitaels J. M., Moshal M. G., Simjee A. E. Peritoneoscopy in the diagnosis of tuberculous peritonitis. Gastrointest Endosc. 1981 May;27(2):66–68. doi: 10.1016/s0016-5107(81)73152-3. [DOI] [PubMed] [Google Scholar]
- Jorge A. D. Peritoneal tuberculosis. Endoscopy. 1984 Jan;16(1):10–12. doi: 10.1055/s-2007-1018516. [DOI] [PubMed] [Google Scholar]
- Karney W. W., O'Donoghue J. M., Ostrow J. H., Holmes K. K., Beaty H. N. The spectrum of tuberculous peritonitis. Chest. 1977 Sep;72(3):310–315. doi: 10.1378/chest.72.3.310. [DOI] [PubMed] [Google Scholar]
- Khoury G. A., Payne C. R., Harvey D. R. Tuberculosis of the peritoneal cavity. Br J Surg. 1978 Nov;65(11):808–811. doi: 10.1002/bjs.1800651113. [DOI] [PubMed] [Google Scholar]
- Menzies R. I., Fitzgerald J. M., Mulpeter K. Laparoscopic diagnosis of ascites in Lesotho. Br Med J (Clin Res Ed) 1985 Aug 17;291(6493):473–475. doi: 10.1136/bmj.291.6493.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sherman S., Rohwedder J. J., Ravikrishnan K. P., Weg J. G. Tuberculous enteritis and peritonitis. Report of 36 general hospital cases. Arch Intern Med. 1980 Apr;140(4):506–508. [PubMed] [Google Scholar]
- Singh M. M., Bhargava A. N., Jain K. P. Tuberculous peritonitis. An evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med. 1969 Nov 13;281(20):1091–1094. doi: 10.1056/NEJM196911132812003. [DOI] [PubMed] [Google Scholar]
- Udwadia T. E. Peritoneoscopy for surgeons. Ann R Coll Surg Engl. 1986 May;68(3):125–129. [PMC free article] [PubMed] [Google Scholar]
- Vyravanathan S., Jeyarajah R. Tuberculous peritonitis: a review of thirty-five cases. Postgrad Med J. 1980 Sep;56(659):649–651. doi: 10.1136/pgmj.56.659.649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wolfe J. H., Behn A. R., Jackson B. T. Tuberculous peritonitis and role of diagnostic laparoscopy. Lancet. 1979 Apr 21;1(8121):852–853. doi: 10.1016/s0140-6736(79)91266-2. [DOI] [PubMed] [Google Scholar]