Ultrasonographic Mapping Reduces the Complications of Diagnostic Laparoscopy for Abdominal Tuberculosis

Background and Aim: Diagnostic laparoscopy is of great value in the early diagnosis of abdominal tuberculosis and to help improve bed turnover. Diagnostic laparoscopy, however, is subject to all the risks and complications inherent to any invasive procedure. Our aim was to evaluate the role of ultrasonography in the prevention of complications when using diagnostic laparoscopy, and to present its efficacy in the monitoring of response to therapy. Materials and Methods: Nineteen male patients who had ascites with unknown etiology or with suspected abdominal tuberculosis were recruited. In order to analyze the potential role of ultrasonographic mapping as an aid in the prevention of complications when using diagnostic laparoscopy for diagnosis, abdominal ultrasonographic mapping was performed in all patients just 2 h before the operation. Results: Diagnostic laparoscopy findings for each patient supported preoperative suspicions of abdominal tuberculosis and all operations were performed without complications. Conclusion: US-guided mapping of the abdomen allows a safe and accurate diagnostic laparoscopy.

Ultrasonographic Mapping Reduces the Complications of Diagnostic Laparoscopy for Abdominal Tuberculosis

Background and Aim: Diagnostic laparoscopy is of great value in the early diagnosis of abdominal tuberculosis and to help improve bed turnover. Diagnostic laparoscopy, however, is subject to all the risks and complications inherent to any invasive procedure. Our aim was to evaluate the role of ultrasonography in the prevention of complications when using diagnostic laparoscopy, and to present its efficacy in the monitoring of response to therapy. Materials and Methods: Nineteen male patients who had ascites with unknown etiology or with suspected abdominal tuberculosis were recruited. In order to analyze the potential role of ultrasonographic mapping as an aid in the prevention of complications when using diagnostic laparoscopy for diagnosis, abdominal ultrasonographic mapping was performed in all patients just 2 h before the operation. Results: Diagnostic laparoscopy findings for each patient supported preoperative suspicions of abdominal tuberculosis and all operations were performed without complications. Conclusion: US-guided mapping of the abdomen allows a safe and accurate diagnostic laparoscopy.

___

  • Jadvar H, Mindelzun RE, Olcott EW, Levitt DB. Still the great mimicker: Abdominal tuberculosis. Am J Roentgenol 1997; 168: 1455-1460.
  • Talwani R, Horvath JA. Tuberculous peritonitis in patients undergoing continuous ambulatory peritoneal dialysis: Case report and review. Clin Infect Dis 2000; 31: 70-75.
  • Fraki O, Peltokallio P. Intestinal and peritoneal tuberculosis: Report of two cases. Dis Colon Rectum 1975; 18: 685-693.
  • Sheer TA, Coyle WJ. Gastrointestinal tuberculosis. Curr Gastroenterol Rep 2003; 5: 273-278.
  • Kapoor VK, Chattopadhyay TK, Sharma LK. Radiology of abdominal tuberculosis. Ausiralas Radiol 1988; 32: 365-367.
  • Prakash A. Ulcero-constriclive tuberculosis of the bowel. Int Surg 1978: 23-29.
  • Bhargava DK, Tandon HD, Chawla TC. Shriniwas, Tandon BN, Kapur BM. Diagnosis of ileocecal and end colonic tuberculosis by colonoscopy. Gastrointest Endosc 1985; 31: 68-70.
  • Gulati MS, Sarma D, Paul SB. CT appearances in abdominal tuberculosis. A pictorial assay. Clin Imaging 1999; 23: 51-59.
  • Bhargava DK. Shriniwas P, Chopra P. Nijhawan S. Dasarathy S, Kushwaha AK. Peritoneal tuberculosis: Laparoscopic patterns and its diagnostic accuracy. Am J Gastroentarol 1992; 87: 109-112.
  • Sharman MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004; 120: 305-315.
  • Tandon RK, Sarin SK, Bose SL, Berry M, Tandon BN. A clinico- radiological reappraisal of intestinal tuberculosis-changing profile? Gastroenterol Jpn 1986; 21: 17-22.
  • Demir K, Okten A, Kaymakoglu S, Dincer D, Besisik F, Cevikbas U et al. Tuberculous peritonitis—reports of 26 cases, detailing diagnostic and therapeutic problems. Eur J Gastroenterol Hepatol. 2001; 13: 581-5.
  • Mimica M. Usefulness and limitations of laparoscopy in the diagnosis of tuberculous peritonitis. Endoscopy 1992; 24: 588- 591.
  • Nordestgaard AG, Bodily KC, Osborn RW Jr, Buttorff JD. Major vascular injuries during laparoscopic procedures. Am J Surg 1995; 169: 543-5.
  • Chapin JW, Hurlbert BJ, Scheer K. Hemmorage and cardiac arrest during laparoscopic tubal ligation. Anesthesiology 1980; 53: 342- 3.
  • Moore CL, Vasquez NF, Lin H, Kaplan LJ. Major vascular injury after laparoscopic tubal ligation. J Emerg Med. 2005; 29: 67-71. 26.
  • Leder RA, Low VHS. Tuberculosis of the abdomen. Radial Clin
  • North Am 1995; 33: 691-705.
  • Kedar RP, Shah PP, Shivde RS, Malde HM. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radial 1994; 49: 24-29.
  • Sheikh M, Abu-Zidan F, Al-Hilaly M, Behbhani A. Abdominal tuberculosis: comparison of sonography and computed tomography. Clin Ultrasound. 1995; 23: 413-417.
  • Lee DH, Lim JH, Ko YT, Yoon Y. Sonographic findings in tuberculous peritonitis of wet-ascitic type. Clin Radiol. 1991; 44: 306-310.
  • Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol. 2002; 12: 312-323.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Ghrelin May Be a Universal Peptide in all Living Organisms

Süleyman AYDIN

The Role of Heart-Type Fatty Acid-Binding Protein (H-FABP) in Acute Myocardial Infarction (AMI) Compared to Conventional Cardiac Biochemical Markers

Hatice PAŞAOĞLU

Comparison of Conventional Cytogenetic and Fluorescence In Situ Hybridization Results of Prenatal Aneuploidy Screening

Zerrin YILMAZ

Ultrasonographic Mapping Reduces the Complications of Diagnostic Laparoscopy for Abdominal Tuberculosis

Mutlu SAĞLAM, Müjdat BALKAN, Ahmet TÜZÜN, Yüksel ATEŞ, Arzu BALKAN, Taner YİĞİT

Development of a Highly Sensitive ELISA for Quantification of Hepatitis B Virus (HBV) Surface Antigen (HBsAg)

Resul KARAKUŞ, Latife Arzu ARAL, Bilkay BAŞTÜRK, Cemalettin AYBAY

A Copper Determination Method Based on the Reaction between 2-(5-Nitro-2-Pyridylazo)-5-(N-Propyl-N- Sulfopropylamino) Phenol (Nitro-PAPS) and Copper for Use in Urine Copper Measurement and Application to Automation

Osman Metin İPÇİOĞLU

A Torsioned and Autoamputated Ovarian Cyst Simulating a Duplication Cyst: A Case Report

Ahmet SIĞIRCI, Sema UĞURALP, Neşe KARADAĞ, Birsen HARMA

How to manage triquetrum and hamate fractures in unusual patterns:A case report

Özgür YILDIRIM, Fuad ÖKEN, Ahmet UÇANER, Murat GÜLCEK, Zafer SOYDAN, Vuslat Sema ÜNAL

Ogilvie`s Syndrome: Presentation of 15 Cases

S. Selçuk ATAMANALP

Ogilvie's syndrome:Presentation of 15 cases

Mahmut BAŞOĞLU, Bülent AYDINLI, Gürkan ÖZTÜRK, M. İlhan YILDIRGAN, S. Selçuk ATAMANALP