Diagnosis Of Peritoneal Tuberculosis:A Case Report

Abstract

Tuberculous peritonitis is a rare event which can mimic advanced stage of acute abdomen.Peritoneal tuberculosis takes a high ratio of all cases with tuberculosis. They admitted to hospitalwith complaint of abdominnal discomfort, weight loss, fewer and increase in tumor markers.Delay in diagnosis increase morbidity and mortality

Keywords

• peritonitisis,tuberculosis

PERİTONEAL TÜBERKÜLOZUN TANISI: OLGU SUNUMU

Abstract

Tüm tüberküloz vakaları arasında tüberküloz peritonit insidansı %0,1 ile %0,7 arasındadır.Tüberkülöz peritonit karında rahatsızlık hissi, şişlik, kilo kaybı gibi spesifik olmayan klinikbulgu ve semptomlara sahiptir. Bazende asemptomatik seyredebilir. Bu nedenle abdominalrahatsızlıkların tanısında ayırıcı tanıda akılda bulundurulması gerekmektedir. Çalışmamızdatüberküloz peritonite yaklaşımı ve tanı koyma yöntemlerini olgu eşliğinde klinisyenlerimizehatırlatmayı amaçladık

Keywords

• peritonit,tüberküloz

References

1. Marshall JB. Tuberculosis of gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
2. Al Karavi MA, Mohamed AE, Yasawy M, et al. Protean manifestation of gastrointestinal tuberculosis: report on 130 patients. J Clin Gastroenterol 1995;20:225-32.
3. CDC. Centre for disease control tuberculosis surveillance report. CDC 2001: Atlanta.
4. Sanai FM, Bzeizi KI. Systematic review:Tuberculous peritonitis presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther 2005;22:685-700.
5. Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol 2002;12:312-23.
6. Bhargave DK, Shriniwas, Chopra P. et al. Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol 1992;87:109-12.
7. Manohar A, Simjee AE, Haffejee AA, et al. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopyand biopsy over a five years period. Gut 1990;31:1130-2.
8. Demir K, Otken A, Kaymakoglu S, et al. Tuberculous peritonitis-report of 26 cases, detailing diagnostic and therapeutic problems. Eur J Gastroenterol Hepatol 2001;13:581-5.

9. Koç S, Beydilli G, Tulunay G, et al. Peritoneal tuberculosis mimicking advanced ovarian cancer: A retrospective review of 22 cases. Gynecologic Oncology 2006;103:565-9.
10. Mas MR, Cömert B, Sağlamkaya U, et al. CA-125; a new marker for diagnosis and follow-up of patients with tuberculous peritonitis. Digest Liver Dis 2000;595-7.
11. Devarbhavi H, Kaese D, Williams AW, et al. Cancer antigen 125 in patients with chronic liver disease. Mayo Clin Proc 2002;77:538-41.
12. Haga Y, Sakamoto K, Egami H, et al. Clinical significance of serum CA 125 values in patients with cancers of the digestive system. Am J Med Sci 1986;292:30-4.
13. Khatri GR, Frieden TR. Controlling tuberculosisin in India. N Engl J Med 2002;347:1420-5.