Clinical review of tuberculous peritonitis in 39 patients in Diyarbakir, Turkey

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dc.contributor.authorTanrikulu, AC
dc.contributor.authorAldemir, M
dc.contributor.authorGurkan, F
dc.contributor.authorSuner, A
dc.contributor.authorDagli, CE
dc.contributor.authorEce, A
dc.date.accessioned2024-04-24T17:11:32Z
dc.date.available2024-04-24T17:11:32Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractAbdominal tuberculosis (TB) is a rare manifestation, which can be overlooked on long-lasting and non-specific findings unless a high index of suspicion is maintained. The purpose of the present study was to investigate the diagnostic features of 39 patients hospitalized with tuberculous peritonitis (TBP) in Dicle University Hospital, Turkey between January 1994 and August 2003. Twenty-two patients were male; patient age ranged between 1 and 59 years (mean: 16.2 +/- 14.4 years). There were 21 patients (54%) under 15 years of age. Thirteen children had a history of familial TB and seven adults had prior history of TB. Six (29%) of 21 pediatric cases had bacille Calmette-Guerin (BCG) scars and results of 5-tuberculin units (TU) tuberculin test were positive in seven children (18%). Of all cases, the most common presenting findings were abdominal pain (95%), ascites (92%) and abdominal distention (82%). Five of the patients had accompanying pulmonary TB, and six patients (15%) had intestinal TB who were admitted to emergency service with acute abdomen, of whom three (8%) had perforation and three (8%) had ileus. Histopathologically 20 cases (51%) were proven on abdominal ultrasonography, and computed tomography revealed most commonly ascites and thickening of peritoneum. No microbiologic evidence was obtained except three positive culture results for Mycobacterium tuberculosis. As a result, TBP should be considered for diagnosis, in patients with non-specific symptoms of abdominal pain, wasting, fever, loss of appetite, abdominal distension and even symptoms of acute abdomen, because early diagnosis and effective treatment will decrease morbidity and mortality. (C) 2005 Blackwell Publishing Asia Pty Ltd.en_US
dc.identifier.doi10.1111/j.1440-1746.2005.03778.x
dc.identifier.endpage909en_US
dc.identifier.issn0815-9319
dc.identifier.issn1440-1746
dc.identifier.issue6en_US
dc.identifier.pmid15946139
dc.identifier.scopus2-s2.0-21244493146
dc.identifier.scopusqualityQ1
dc.identifier.startpage906en_US
dc.identifier.urihttps://doi.org/10.1111/j.1440-1746.2005.03778.x
dc.identifier.urihttps://hdl.handle.net/11468/17587
dc.identifier.volume20en_US
dc.identifier.wosWOS:000229282400015
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Gastroenterology and Hepatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectClinical Findingen_US
dc.subjectDiagnosisen_US
dc.subjectPeritoneal Tuberculosisen_US
dc.titleClinical review of tuberculous peritonitis in 39 patients in Diyarbakir, Turkeyen_US
dc.titleClinical review of tuberculous peritonitis in 39 patients in Diyarbakir, Turkey
dc.typeArticleen_US

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