Peritoneal Tuberculosis in Laparoscopic Era

Târcoveanu, E; Dimofte, Gabriel; Bradea, C; Lupașcu, Cristian; Moldovanu, R; Vasilescu, A

doi:10.1080/00015458.2009.11680374

Cited by 19 publications

(28 citation statements)

References 19 publications

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“…Common clinical manifestations of abdominal TB such as abdominal pain, distension, masses and ascites are similar to other intra-abdominal diseases (abdominal malignancy, Crohn's disease, etc.). Moreover, routine laboratory and radiographic studies are often non-specific, thus abdominal TB remains a diagnostic challenge in clinical practices [1,8,9]. At present, a diagnostic laparoscopy is often required for the diagnosis of abdominal TB.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Tuberculosis Leading to Prehepatic Portal Hypertension: A Case Report

Feng¹

2014

J Cytol Histol

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Tuberculosis can affect any organ or tissue in the abdomen such as gastrointestinal tract, peritoneum, lymphatic system and solid organs. Lymphadenopathy is the most common manifestation of abdominal tuberculosis which can be the only sign of the disease, especially in the periportal region or combined with peritoneal or solid organ involvement. There are a number of causes for prehepatic noncirrhotic portal hypertension, but there were a few reports of prehepatic portal hypertension associated with tuberculosis. Here we report a rare case of intra-abdominal tuberculosis as a cause for portal hypertension and recurrent gastrointestinal bleeding. Enlarged lymph nodes at hepatic hilum compressed the portal vein which caused portal hypertension and portal hypertensive gastropathy and enteropathy. The patient was managed by anti-tuberculosis therapy followed by splenectomy, surgical portaazygous devascularization and splenorenal shunt. In the 2-year followup after operation, the patient was free of symptoms and had cavernous portal vein transformation on CT, and disappearance of varices and portal hypertensive gastroenteropathy on EGDs.

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Section: Discussionmentioning

confidence: 99%

Abdominal Tuberculosis Leading to Prehepatic Portal Hypertension: A Case Report

Feng¹

2014

J Cytol Histol

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“…Laparoscopy is most reliable as it is minimally-invasive effective modality for diagnosis of peritoneal TB, and can be performed under local anaesthesia. It is rapid, safe, greater than 75% accuracy in diagnosis and spares the patient the discomfort of a laparotomy[ 11 , 27 ]. It allows the biopsy of the typical studded tubercles of the peritoneum and other organs which are sent for culture and histology.…”

Section: Investigationsmentioning

confidence: 99%

Abdominal tuberculosis: Is there a role for surgery?

Weledji

Pokam

2017

WJGS

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It is important that surgeons are familiar with the various manifestations of tuberculosis (TB). Although TB has been declining in incidence in the developed world, it remains an important problem in endemic areas of the developing world. The aim of the review was to elucidate the natural history and characteristics of abdominal TB and ascertain the indications for surgery. TB can affect the intestine as well as the peritoneum and the most important aspect of abdominal TB is to bear in mind the diagnosis and obtain histological evidence. Abdominal TB is generally responsive to medical treatment, and early diagnosis and management can prevent unnecessary surgical intervention. Due to the challenges of early diagnosis, patients should be managed in collaboration with a physician familiar with anti-tuberculous therapy. An international expert consensus should determine an algorithm for the diagnosis and multidisciplinary management of abdominal TB.

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“…Laparoscopic or blind peritoneal biopsies have a sensitivity of about 75%. 91,92 Treatment strategies for abdominal TB are largely based on anti-TB drugs and supportive measures. Endoscopic balloon dilatation has successfully been used in patients with colonic or ileocaecal strictures.…”

Section: Abdominal Tbmentioning

confidence: 99%

The critically ill patient with tuberculosis in intensive care: Clinical presentations, management and infection control

Otu

Mukhtar

Kwizera

et al. 2018

Journal of Critical Care

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Tuberculosis (TB) is one of the top ten causes of death worldwide. In 2016, there were 490,000 cases of multi-drug resistant TB globally. Over 2 billion people have asymptomatic latent Mycobacterium tuberculosis infection. TB represents an important, but neglected management issue in patients presenting to intensive care units. Tuberculosis in intensive care settings may present as the primary diagnosis (active drug sensitive or resistant TB disease). In other patients TB may be an incidental co-morbid finding as previously undiagnosed sub-clinical or latent TB which may re-activate under conditions of stress and immunosuppression. In Sub-Saharan Africa, where co-infection with the human immunodeficiency virus and other communicable diseases is highly prevalent, TB is one of the most frequent clinical management issues in all healthcare settings. Acute respiratory failure, septic shock and multi-organ dysfunction are the most common reasons for intensive care unit admission of patients with pulmonary or extrapulmonary TB. Poor absorption of anti-TB drugs occurs in critically ill patients and worsens survival. The mortality of patients requiring intensive care is high. The majority of early TB deaths result from acute cardiorespiratory failure or septic shock. Important clinical presentations, management and infection control issues regarding TB in intensive care settings are reviewed.

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Peritoneal Tuberculosis in Laparoscopic Era

Cited by 19 publications

References 19 publications

Abdominal Tuberculosis Leading to Prehepatic Portal Hypertension: A Case Report

Abdominal Tuberculosis Leading to Prehepatic Portal Hypertension: A Case Report

Abdominal tuberculosis: Is there a role for surgery?

The critically ill patient with tuberculosis in intensive care: Clinical presentations, management and infection control

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