Nadir Bir Masif Asit Nedeni: Periton Tüberküloz Olgusu
Peritoneal tüberküloz, tüm tüberküloz vakalarının %0.1-0.7'sini oluşturmaktadır. Hastaların tanısında gecikme mortalite ve morbiditede artmaya sebep olmaktadır. Biz karın ağrısı ve asiti olan olgumuzda batın görüntülemesi ve endoskopilerde anlamlı patoloji saptanamayıp parasentez mayi örneklemesinde lenfosit hakimiyetli beyaz küre yüksekliği görülüp yapılan laparoskopi ile tanı koyduğumuz tüberküloz peritonit olgusunu sunduk
A Rare Cause of Massive Ascite: Peritoneal Tuberculosis Case Report
Peritoneal tuberculosis is 0.1-0.7 % of all tuberculosis cases. The delay of patients diagnosis gives rise to increased mortality and morbidity. We represented a case with stomachache and ascites. In abdominal imaging and endoscopy, we didn't observe any significant pathology, however observed lymphocyte dominancy and leukocyte elevation at paracentesis fluid sampling. We diagnosed tuberculosis peritonitis through the laparoscopy in this case
___
- 1. Marshall JB. Tuberculosis of gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
- 2. Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis-presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther 2005;22:685-700.
- 3. Shakil AO, Korula J, Kanel GC, et al. Diagnostic features of tuberculous peritonitis in the absence and presence of chronic liver disease. A case control study. Am J Med 1996;100:179-85.
- 4. Manohar A, Simjee AE, Haffejee AA, et al. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five years period. Gut 1990;31:1130-2.
- 5. Akpolat T. Tuberculous peritonitis. Perit Dial Int 2009;29:s166-9.
- 6. Khatri GR, Frieden TR. Controlling tuberculosisin in India. N Engl J Med 2002;347:1420-5.
- 7. 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.
- 8. sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120:305-315.[PubMed]
- 9. Riquelme A, Calvo M, Salech F, Valderrama S, Pattillo A, Arellano M, Arrese M, Soza A, Viviani P, Letelier LM. Value of adenosine deaminase (ADA) in ascitic fluid for the diagnosis of tuberculous peritonitis: a meta-analysis. J Clin Gastroenterol 2006;40:705-10.
- 10. Lingenfelser T, Zak J, Marks IN, Steyn E, Halkett J, Price SK. Abdominal tuberculosis: still a potentially lethal disease. Am J Gastroenterol 1993;88:744-50.
- 11. Menzies RI, Fitzgerald JM, Mulpeter K. Laparoscopic diagnosis of ascites in Lesotho. Br Med J (Clin Res Ed) 1985;291:473-75.
- 12. Portillo-Gómez L, Morris SL, Panduro A. Rapid and efficient detection of extra-pulmonary Mycobacterium tuberculosis by PCR analysis. Int J Tuberc Lung Dis 2000;4:361-70