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Related Experiment Videos

Tuberculous peritonitis

R S Cromartie

    Surgery, Gynecology & Obstetrics
    |June 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This study reviewed 40 tuberculous peritonitis cases, finding fever, abdominal pain, and swelling common. Most patients survived long-term follow-up, indicating potential for good outcomes with treatment.

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    Area of Science:

    • Medicine
    • Infectious Diseases
    • Public Health

    Background:

    • Tuberculous peritonitis is a significant extrapulmonary manifestation of tuberculosis.
    • Diagnosis and management can be challenging, especially in endemic areas.

    Purpose of the Study:

    • To review the clinical characteristics, diagnostic methods, and outcomes of tuberculous peritonitis patients.
    • To identify common symptoms, signs, and associations with extra-abdominal tuberculosis.

    Main Methods:

    • Retrospective review of 40 patient records with tuberculous peritonitis.
    • Analysis of demographic data, clinical presentation, diagnostic procedures, and treatment outcomes.
    • Follow-up data collection averaging 6.5 years.

    Main Results:

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    • The study population (n=40) predominantly comprised African Americans (39) and males (24), with an average age of 36.5 years.
    • Common symptoms included fever, abdominal pain, weight loss, and swelling; key signs were tenderness, fever, and ascites.
    • Diagnosis involved laparotomy (24), paracentesis (8), peritoneoscopy (2), autopsy (4), and hernial repair (2).
    • A history or concurrent diagnosis of extra-abdominal tuberculosis was noted in 12 patients.
    • Mortality was 30% (12/40) during the study period, with 22 patients alive at follow-up.

    Conclusions:

    • Tuberculous peritonitis presents with non-specific symptoms, necessitating a high index of suspicion.
    • Diagnostic modalities like laparotomy and paracentesis are crucial for confirmation.
    • While mortality exists, a significant proportion of patients achieve long-term survival.