[Echographic recognition of tuberculous peritonitis]
J E Portielje1, S D van der Werf, J A Mutsaers
1Afd. Inwendige Geneeskunde, Westeinde Ziekenhuis, Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|January 11, 1997
Summary
Ultrasonography (US) aids in diagnosing tuberculous peritonitis by identifying characteristic ascites and peritoneal thickening. US-guided puncture further confirms the diagnosis, reducing delays and avoiding surgery.
Area of Science:
- Medical Imaging
- Infectious Diseases
- Gastroenterology
Background:
- Tuberculous peritonitis is a significant diagnostic challenge, particularly in endemic populations.
- Timely diagnosis is crucial to prevent complications and guide treatment.
Purpose of the Study:
- To evaluate the effectiveness of ultrasonography (US) and US-guided puncture in diagnosing tuberculous peritonitis.
- To assess the impact of these imaging modalities on diagnostic timelines.
Main Methods:
- Retrospective analysis of 12 patients with bacteriologically confirmed tuberculous peritonitis.
- Review of ultrasonographic findings and results of US-guided puncture (bacteriological and cytological).
Main Results:
- Ultrasonography accurately identified wet tuberculous peritonitis in 11 of 11 cases, showing loculated ascites and peritoneal thickening.
- US-guided puncture achieved bacteriological diagnosis in 8 patients and cytological confirmation in 2.
- Diagnostic delay was reduced, with US suggesting the diagnosis 3 days post-admission.
Conclusions:
- Ultrasonography is a valuable tool for diagnosing tuberculous peritonitis, especially the 'wet' form.
- US-guided puncture enhances diagnostic yield and accuracy.
- These methods significantly reduce diagnostic delay and the need for invasive surgical procedures.
Related Concept Videos
01:26Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
01:25Assessment of the Abdomen I: Inspection and Auscultation
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
01:18Assessment of the Abdomen II: Percussion
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...