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01.04.2010 | Original Article

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

verfasst von: Jamila Chahed, Mongi Mekki, Asma Mansour, Mohamed Ben Brahim, Kais Maazoun, Saida Hidouri, Imed Krichene, Lassâad Sahnoun, Riyadh Jouini, Mohsen Belgith, Abdelfattah Zakhama, Mohamed Tahar Sfar, Mohamed Neji Gueddiche, Abdelaziz Harbi, Fethi Amri, Abdelmajid Mahfoudh, Abdellatif Nouri

Erschienen in: Pediatric Surgery International | Ausgabe 4/2010

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Abstract

Objective

Abdominal tuberculosis is one of the most frequent extra-pulmonary localizations. Its diagnosis is difficult and may lead to a delayed prescription of specific treatment. This study is aimed at stressing the role of laparoscopy associated with a biopsy in the diagnostic confirmation of abdominal tuberculosis particularly in doubtful cases.

Methods

The diagnostic features of 11 cases hospitalized for abdominal tuberculosis in the Paediatric Surgery Department of Fattouma Bourguiba Hospital in Monastir for a 6-year period (2001–2006), were evaluated retrospectively. The diagnosis of abdominal tuberculosis was substantiated histopathologically by laparoscopy in all cases. The epidemiological and clinical characteristics along with the laboratory, radiological and histological data were studied.

Results

Eleven cases of abdominal tuberculosis with a mean age of 5.6 years were diagnosed. It was peritoneal tuberculosis in all cases and associated with intestinal localization in one case. A conversion to laparotomy was practiced in three patients: appendicular plastron in one case, pseudo-tumor aspect of an intestinal loop in another case and because of their pathological aspect appendicectomy and caecum biopsy in the third. The diagnosis was confirmed histologically by biopsies in nine cases and on excision pieces in the other two cases. All patients had an uneventful course with an antituberculosis treatment.

Conclusion

Abdominal tuberculosis is still frequent in Tunisia. Because of its non-specific clinical presentation and the limited means of investigation, a laparoscopy with biopsy should be practiced as first line diagnostic tool in case of doubtful abdominal tuberculosis. The earlier the diagnosis is established and an adapted antituberculosis treatment is started, the better the prognosis is.

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Titel: Contribution of laparoscopy in the abdominal tuberculosis diagnosis: retrospective study of about 11 cases
verfasst von: Jamila Chahed
Mongi Mekki
Asma Mansour
Mohamed Ben Brahim
Kais Maazoun
Saida Hidouri
Imed Krichene
Lassâad Sahnoun
Riyadh Jouini
Mohsen Belgith
Abdelfattah Zakhama
Mohamed Tahar Sfar
Mohamed Neji Gueddiche
Abdelaziz Harbi
Fethi Amri
Abdelmajid Mahfoudh
Abdellatif Nouri
Publikationsdatum: 01.04.2010
Verlag: Springer-Verlag
Erschienen in: Pediatric Surgery International / Ausgabe 4/2010
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-010-2555-z

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