Contribution of laparoscopy in the abdominal tuberculosis diagnosis: retrospective study of about 11 cases

Chahed, J.; Mekki, Mongi; Mansour, A.; Brahim, M. Ben; Maazoun, K.; Hidouri, S.; Krichène, I.; Sahnoun, Lassâad; Jouini, Riyadh; Belgith, Mohsen; Zakhama, Abdelfattah; Sfar, Mohamed Tahar; Gueddiche, M; Harbi, A.; Amri, Fethi; Mahfoudh, A.; Nouri, Abdellatif

doi:10.1007/s00383-010-2555-z

Cited by 13 publications

(10 citation statements)

References 15 publications

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“…Laparoscopic diagnosis with biopsy allows for fast and accurate diagnosis of TBP, which is important for early treatment and better patient prognosis (13). Although in certain situations, laparoscopic diagnosis alone may provide false positive rates in 18%, these are avoided when supported with histopathology and ascitic fluid analysis (14).…”

Section: Discussionmentioning

confidence: 99%

Tuberculous peritonitis diagnosed using laparoscopy with assistance of a central venous catheter

Zhang

Yao

et al. 2018

Exp Ther Med

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Laparoscopy with peritoneal biopsy is a tool for rapid and accurate diagnosis of tuberculous peritonitis (TBP). However, laparoscopic procedures are not risk-free; complications include injuries to the gastrointestinal tract and major blood vessels. The purpose of the present study was to introduce a novel method for safe and straightforward laparoscopic diagnosis of TBP. A case series of 12 patients with TBP diagnosed between October 2012 and November 2013 at our hospital is presented. The patients underwent a novel method of laparoscopy involving the use of a central venous catheter (CVC). The diagnosis was confirmed by biopsy and histology. The efficacy of the method for TBP diagnosis was evaluated by the time taken for the procedure and the rate of successful completion. The safety of the method was evaluated by recording all intra-and post-operative adverse events encountered. The mean age of the patients was 41 years and 33% were male. The mean operation time was 50.6 min and the median duration of hospital stay was 7 days. In all cases, diagnostic laparoscopy was successfully performed. Targeted biopsies were taken from all of the patients and revealed caseous granulomatous inflammation. All patients tolerated the procedure without significant bleeding or digestive tract perforation. In conclusion, the present case series demonstrated a novel method of diagnostic laparoscopy with CVC that is a feasible and straightforward procedure for TBP diagnosis.

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Section: Discussionmentioning

confidence: 99%

Tuberculous peritonitis diagnosed using laparoscopy with assistance of a central venous catheter

Zhang

Yao

et al. 2018

Exp Ther Med

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“…This patient's T-SPOT was negative on two occasions; the results may be due to condition related to active tuberculosis or may be because of the use of corticosteroids. Hence, the diagnosis for this type of special case required a peritoneal biopsy performed under direct visualization [7,[19][20][21][22]. The patient had refused to undergo invasive peritoneal biopsy procedure at the previous health center.…”

Section: Discussionmentioning

confidence: 99%

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

Ting

Shrestha

et al. 2016

J Infect Dev Ctries

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Tuberculosis is a common infectious mycobacterial disease having a wide range of clinical and serological manifestations that are similar to rheumatic disease. Differential diagnosis is a crucial aspect in any rheumatic disease as many other infectious diseases portray clinical similarities and autoantibody positivity. Our case report illustrates of a young woman just after the delivery of a child presented an unusual case of extrapulmonary tuberculosis infection initially misdiagnosed as systemic lupus erythematosus (SLE).

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“…Diagnostic laparoscopy prompts the diagnosis and can reduce the delay which can increase the morbidity and can lead to unnecessary laparotomies while improving the outcome [30][31]. Despite all the benefits, some limitations like a deceiving view leading to mis-diagnosis regardless of the experience of surgeon are mentioned by few studies [32][33][34][35].…”

Section: Laparoscopic Surgerymentioning

confidence: 99%

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Malik¹

2017

Laparoscopic Surgery

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Introduction: Abdominal tuberculosis has plagued the mankind over several decades and is a major reason of morbidity and mortality even today in the developing world. It's a difficult problem to diagnose as most patients present with vague and nonspecific symptomatology. This study was performed with a view to find out an efficient and practical tool for diagnosing this problem. Methods: This analytical descriptive study including 283 patients of abdominal tuberculosis is a continuation of an earlier study by the author in the same context. The study was conducted to highlight the usefulness of diagnostic laparoscopy in patients with vague abdominal symptoms, posing difficulty in establishing a conclusive diagnosis. The study extended over a nine-year period in a teaching hospital as well as some private hospitals. The data was collected and statistically analyzed on SPSS version 22. Results: We had a total of 266 patients with unsettled diagnosis having vague abdominal symptoms. Out of the total study subjects, 214 (80.45%) were finally conclusively diagnosed to have abdominal tuberculosis on diagnostic laparoscopy. Abdominal pain is the most frequent symptom which makes the patients seek medical advice coupled with changing bowel habits, loss of weight and generalized weakness. Laparoscopy revealed various tuberculous lesions which were biopsied and diagnosed. Conclusion: Diagnostic laparoscopy is a potential answer for the diagnostic dilemma posed by abdominal tuberculosis. Its efficacy and reliability need further studies in future.

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Contribution of laparoscopy in the abdominal tuberculosis diagnosis: retrospective study of about 11 cases

Cited by 13 publications

References 15 publications

Tuberculous peritonitis diagnosed using laparoscopy with assistance of a central venous catheter

Tuberculous peritonitis diagnosed using laparoscopy with assistance of a central venous catheter

Post-delivery mycobacterium tuberculosis infection misdiagnosed as systemic lupus erythematosus

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

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