ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Peritoneal Tuberculosis: Review
Dr. Ali UZUNKÖY,a Dr. Yaşar NAZLIGÜLb
aGenel Cerrahi AD, bGastroenteroloji BD, Harran Üniversitesi Tıp Fakültesi, ŞANLIURFA
The evaluation of peritoneal tuberculosis was aimed with current literatures because its incidence has been increasing, and its clinical picture imitates with a lot of intra-abdominal pathologies.
Tuberculosis is known to be a third world’s disease. However, there has been a resurgence of tuberculosis in the developed countries due to the increasing incidence of patients infected with HIV and immigrations from endemic areas. Peritoneal tuberculosis occurs in about 1% of cases of tuberculosis. Delay in the treatment results in the increased rates of morbidity and mortality.
The organism may enter the peritoneal cavity through the bowel wall, by direct extension from gynaecologic tract, or by haematogenous spread from a primary pulmonary focus.
The ascitic fluid is exudative. Microbiological examinations of ascitic fluid and PPD are of limited diagnostic value. Adenosine deaminase usually increases in tuberculosis ascitic fluid. Abdominal ultrasound and computerised tomography frequently reveal ascites, peritoneal and omental thickening and enlarged lymph nodes. However, these non-specific findings may be seen in the many other intra-abdominal and ovarian diseases. The laparoscopic evaluation combined with peritoneal biopsy is the gold standard for the diagnosis of peritoneal tuberculosis. When laparoscopy is risky, explotory laparotomy is an alternative route for diagnosing peritoneal tuberculosis.
Peritoneal tuberculosis is effectively treated with antituberculosis drugs; surgery is reserved for complications such as perforation, fistula, and abscess.Keywords: Tuberculosis, peritonitis, ascites, laparoscopyTurkiye Klinikleri J Med Sci 2006, 26:404-408
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