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- Title
Role of Laparoscopy in the Diagnosis of Abdominal Tuberculosis.
- Authors
Safarpor, Faizollah; Aghajanzade, Menochehr; Kohsari, Mohammad Reza R.; Hoda, Saba; Sarshad, Ali; Safarpor, Delaram
- Abstract
Background: Tuberculosis continues to be a common disease in Iran and one of its presentations is abdominal tuberculosis. Histopathological confirmation of abdominal tuberculosis is difficult because of suboptional, noninvasive access to the pathology. Laparoscopy provides minimally invasive access to the peritoneum. AIM: The aim is to evaluate the role and importance of laparoscopy in the diagnosis of tuberculous peritonitis (TP). Materials and Methods: A retrospective study on laparoscopy in Razi hospital of Rasht (in northern Iran) over a period of ten years showed that diagnostic laparoscopy was performed in 290 patients with abdominal pain, with or without ascites. Most cases revealed malignancy and we found 28 cases of abdominal tuberculosis. Results: Macroscopic findings of TP were whitish granulations over both peritoneal layers, inflammatory adhesions on the visceral or parietal surface, thickening, hyperemia and retraction of the greater omentum and stalactic band which is characteristic of TP. Pathology confirmed TP in 28 cases and all patients had excellent response to medical therapy. Conclusion: Although other diagnostic methods of TP such as imaging, culture of ascitis and polymerase chain reaction (PCR) are used today, laproscopy with tissue biopsy provided rapid and correct diagnosis of abdominal tuberculosis.
- Subjects
IRAN; LAPAROSCOPY; INTESTINAL tuberculosis; DIAGNOSIS; PERITONITIS; PERITONEUM diseases
- Publication
Saudi Journal of Gastroenterology, 2007, Vol 13, Issue 3, p133
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/1319-3767.33465