Role of laparoscopy in the diagnosis of abdominal tuberculosis

Abstract

Although other diagnostic methods of TP such as imaging, culture of ascitis and polymerase chain reaction (PCR) are used today, laparoscopy with tissue biopsy provided rapid and correct diagnosis of abdominal tuberculosis.

Role of laparoscopy in diagnosis of peritoneal tuberculosis (About 414 cases)

“…It currently represents 0.5% of new peritoneal tuberculosis cases and 3.8% of extra-pulmonary tuberculosis in the United States and 3.7% in France [4]. It is the most common form of abdominal locations [3]. Symptomatology is dominated by abdominal pain associated with abdominal distension related to free or partitioned ascites.…”

“…The association with pulmonary tuberculosis has been reported in 20% to 50% of cases [1,2]. Peritoneal tuberculosis may originate from a lymphatic (mesenteric lymph nodes) or through blood or be secondary to tuberculous salpingitis [3]. Clinical symptoms may be insidious with abdominal pain, sweating, anorexia, fever and weight loss.…”

A prospective audit of the use of diagnostic laparoscopy to establish the diagnosis of abdominal tuberculosis

“…71 Although there are some publications of retrospective studies about the role of laparoscopy to establish the diagnosis of abdominal tuberculosis, there is no prospective study. 74,75,76 However, locally it was found that the use of laparoscopy in the diagnostic work up of suspected abdominal tuberculosis was poor and underutilized. 17 Establishing a dedicated team that will aggressively pursue a diagnosis of abdominal tuberculosis with laparoscopy is an attractive concept at a busy hospital in South Africa with high incidence tuberculosis and HIV infection.…”

Experience with Balloon Dilatation in Crohn’s and Non-Crohn’s Benign Small-Bowel Strictures: Is There a Difference?

“…The gastrointestinal obstruction may also be exacerbated during antituberculosis treatment due to healing by cicatrization [28]. It was reported that about 20–40% of patients with abdominal tuberculosis presented with an acute abdomen and required surgical management [29]. The experience of EBD in patients with ileal tuberculosis is limited to a few case reports [21, 30, 31].…”