Laparoscopic diagnosis of peritoneal tuberculosis
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1Department of Surgery, King Fahd Hospital of the University, King Faisal University, Dammam, Saudi Arabia. ammulhim@yahoo.com
Background:
The value of laparoscopy in diagnosing peritoneal tuberculosis (TB) is well described by gastroenterologists but infrequently by surgeons. This report describes a single surgeon's experience with laparoscopic diagnosis of peritoneal TB.
Methods:
A total of 21 consecutive patients with peritoneal TB diagnosed at laparoscopy from January 1995 to December 2002 were prospectively reviewed. Their clinical data, laparoscopic findings, and outcome are described.
Results:
There were 11 females and 10 males; the mean age was 36.6 years. Fever (81%) and ascites (66.7%) were the most common clinical features. Laparoscopy under general anesthesia was successful in all patients, and there was no laparoscopy-related mortality. Histology confirmed TB in 17 patients; the remaining four had nonspecific inflammation. All had satisfactory response to anti-TB therapy except one patient with systemic lupus erythematosus, who died after initiation of treatment.
Conclusions:
Laparoscopy is safe and readily establishes the diagnosis of peritoneal TB.
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