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Related Experiment Videos

[Intestinal and peritoneal tuberculosis].

Yilmaz Akgün1, Gülşen Yilmaz, Ibrahim Taçyildiz

  • 1Dicle Universitesi Tip Fakültesi Genel Cerrahi Anabilim Dali, Diyarbakir.

Ulusal Travma Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|March 8, 2002
PubMed
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Abdominal tuberculosis (tbc) is a diagnostic challenge in developing nations. Early diagnosis and conservative treatment for intestinal and peritoneal tbc significantly reduce complications and mortality rates.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Abdominal Surgery

Background:

  • Abdominal tuberculosis (tbc) remains a significant health issue in developing countries.
  • The diverse presentation of abdominal tbc often leads to delayed or missed diagnoses.
  • Prompt suspicion is crucial for timely identification of abdominal tuberculosis.

Purpose of the Study:

  • To evaluate the diagnostic utility of clinical, physical, and laboratory findings in abdominal tuberculosis.
  • To discuss optimal diagnostic and therapeutic strategies for intestinal and peritoneal tuberculosis.
  • To assess outcomes in 121 patients with intestinal and peritoneal tuberculosis.

Main Methods:

  • Diagnosis was confirmed via histopathological examination of biopsy samples and Mycobacterium bacillus isolation from ascites fluid.

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  • Diagnostic procedures included laparotomy, laparoscopy, colonoscopy, and percutaneous aspiration.
  • Treatment involved anti-tuberculous chemotherapy, avoiding extensive surgical resection where possible.

    • Main Results:

    • Intestinal tuberculosis was diagnosed in 55.3% and peritoneal tuberculosis in 44.6% of patients.
    • The ileocecal area was the most common site of intestinal involvement.
    • Complications occurred in 42.9% of patients postoperatively, with wound infection being most frequent; mortality was 13.2%.

    Conclusions:

    • Minimally invasive procedures like laparoscopy and percutaneous aspiration are valuable for selected abdominal tuberculosis cases.
    • Laparotomy should be reserved for complicated cases or diagnostic uncertainty.
    • Avoiding extensive resection and prioritizing early diagnosis/treatment reduces complications and mortality in abdominal tuberculosis.