[Abdominal tuberculosis in the clinical picture of visceral diseases]

The present-day situation requires that a physician should be broad-minded and alert to abdominal tuberculosis. To diagnose abdominal tuberculosis in internal medicine is a challenge, which has been evidenced by studies of the clinical picture of abdominal tuberculosis in 75 patients. The polymorphism and clinical features of abdominal tuberculosis under the present conditions are shown. In 37 (49.3%) patients, abdominal tuberculosis was revealed during surgical interventions. By taking into account the inadequate informative value of indirect studies, the absence of early pathognomic symptoms of the disease and reliable criteria for evaluating the activity of the process, the authors propose to use invasive endoscopic studies of the abdomen, by making biopsy of the involved tissue. The morphological and bacteriological studies of the biopsy specimens obtained permit verification of the diagnosis of abdominal tuberculosis.