Role of Laparoscopy in Diagnosis of Abdominal Tuberculosis
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 9
Abstract
Background: Diagnosis of abdominal tuberculosis is difficult as well as its Histopathological confirmation because of suboptimal, noninvasive access to the intraperitoneal pathology. Laparoscopy provides minimally invasive access to the peritoneum. Aim: To evaluate the potential benefits of laparoscopy with tissue biopsy in the diagnosis of suspected abdominal tuberculosis Methods: A prospective hospital based study of 50 patients with suspicion of abdominal tuberculosis after clinical examination and baseline investigations from November 2013 to November 2015 was done in the Postgraduate Department of Surgery, Government Medical College, Srinagar. Abdominal tuberculosis was diagnosed in 80% of these patients. A descriptive analysis of data collected from case records of the patients was done to study the clinical characteristics, laboratory, radiological and histological findings along with usefulness of laparoscopy to confirm the diagnosis of abdominal tuberculosis. Results: Laparoscopy was performed in 50 patients of chronic abdominal pain with unsettled diagnosis. Laparoscopically guided peritoneal biopsies revealed the following histopathological reports: Chronic granulomatous inflammation (caseating and non-caseating) in 80% of the patients. Metastatic adenicarcinoma in 14% of the cases. Normal report in 6%. Conclusions: Early laparoscopy is safe and useful in establishing the diagnosis of peritoneal TB in suspected cases resulting in avoiding expensive, time consuming and sometimes fruitless investigations and allowing early institution of treatment.
Authors and Affiliations
Dr Zahoor Ahmad Bhat
Keywords
Related Articles
- EP ID EP515136
- DOI -
- Views 58
- Downloads 0
Prospective follow up study of idiopathic dilated cardiomyopathy in 112 patients at a tertiary care Hospital
Introduction: Idiopathic dilated cardiomyopathy is a mostly progressive irriversible disease with high global burden. A large number of cardiac and systemic diseases can cause systolic impairment and left ventricular dil...
Burden of HCV infection among pregnant women with assessment of risk factors and pregnancy outcome in HCV infected: A hospital based study from Uttarakhand
Introduction: Hepatitis-C is a global health problem. Risk factors for HCV infection include intravenous drug use, transfusion of infected blood or blood products, unsafe therapeutic injections and surgical, dental proce...
Beware of Dog and cat bites! Beware of Pasturella pneumotropica - A Rare Case Report
Pasturella pneumotropica are small, gramnegative , oxidase positive bacilli that colonize the mucous membranes of domestic and wild animals but these are not present usually in the normal flora in human beings[1][2] . In...
Hematologic Analysis of Pancytopenia and Correlation with Bone Marrow Findings: Study in a Tertiary Care Centre
Background: Pancytopenia is one of the most common haematological disorders, which is characterized by decrease in all the formed elements of blood. Pancytopenia occurs either due to certain primary conditions affecting...
Waardenburg Syndrome – A Case Report
Waardenburg syndrome is an autosomal dominant disorder often characterised by pigmentary anomalies of skin and hair and various defects of neural crest tissues. It accounts for 1-3% of all cases of congenital deafness. H...