Management of wet ascitic type of peritoneal tuberculosis: single center experience

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dc.authoridSARICI, KEMAL BARIŞ/0000-0001-9595-1906
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridGARZALI, IBRAHIM UMAR/0000-0002-9797-851X
dc.authoridKilci, Mahmut Burak/0000-0001-9461-5222
dc.authorwosidSARICI, KEMAL BARIŞ/ABI-4356-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidGARZALI, IBRAHIM UMAR/ITU-1475-2023
dc.contributor.authorGonultas, F.
dc.contributor.authorAkbulut, S.
dc.contributor.authorSarici, K. B.
dc.contributor.authorToprak, S.
dc.contributor.authorKilci, B.
dc.contributor.authorBilgic, Y.
dc.contributor.authorKose, A.
dc.date.accessioned2024-08-04T20:53:27Z
dc.date.available2024-08-04T20:53:27Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE: We aimed to present our experience with the management of 17 patients with ascites who underwent diagnostic laparoscopy or laparotomy, and histologic con-firmation of wet ascitic type of peritoneal tuber-culosis (TB).PATIENTS AND METHODS: Between Janu-ary 2008 and March 2019, 17 patients whose as -cites were investigated by a gastroenterologist and who were thought to have non-cirrhotic as -cites were referred to our Surgery clinic for peri-toneal biopsy. The clinical, biochemical, radio-logical, microbiological, and histopathological data of the patients who underwent diagnostic laparoscopy or laparotomy were analyzed ret-rospectively. Histopathological examination of peritoneal tissue samples in hematoxylin-eo-sin-stained preparations revealed necrotiz-ing granulomatous inflammation with caseous necrosis and Langhans type giant cells. Eh-rlich-Ziehl-Neelsen (EZN) staining was studied with the suspicion of TB. Acid-fast bacilli (AFB) were detected in EZN stained slide. Histopatho-logical findings were also considered.RESULTS: Seventeen patients aged 18 to 64 years were included in this study. The most common symptoms were ascites and abdomi-nal distention, weight loss, night sweats, fever and diarrhea. Radiological examination revealed peritoneal thickening, ascites, omental cacking, and diffuse lymphadenopathy. Histopathologi-cally, necrotizing granulomatous peritonitis con-sistent with peritoneal TB were detected. While direct laparoscopy was preferred in sixteen pa-tients, laparotomy was preferred in the remain-ing one due to previous surgical procedures. However, seven were converted to open laparot-omy.CONCLUSIONS: Diagnosis of abdominal TB requires high index of suspicion, and the treat-ment should be prompt to reduce the morbidity and mortality associated with delay in treatment.en_US
dc.identifier.endpage987en_US
dc.identifier.issn1128-3602
dc.identifier.issue3en_US
dc.identifier.pmid36808343en_US
dc.identifier.scopus2-s2.0-85148679342en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage980en_US
dc.identifier.urihttps://hdl.handle.net/11616/101185
dc.identifier.volume27en_US
dc.identifier.wosWOS:000951507500019en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectExtrapulmonary tuberculosisen_US
dc.subjectPeritoneal tuberculo-sisen_US
dc.subjectAscitesen_US
dc.subjectReal-time PCRen_US
dc.subjectQuantiferon TB golden_US
dc.titleManagement of wet ascitic type of peritoneal tuberculosis: single center experienceen_US
dc.typeArticleen_US

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