EVALUATION OF TWENTY-SEVEN PATIENTS WITH TUBERCULOUS PERITONITIS

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dc.authoridkilic, yeliz/0000-0003-1446-7747;
dc.contributor.authorKilic, Murat Ozgur
dc.contributor.authorSaglam, Cemile
dc.contributor.authorCaner, Sevkan Sultan
dc.contributor.authorKilic, Yeliz
dc.contributor.authorIcen, Duygu
dc.date.accessioned2025-10-24T18:10:33Z
dc.date.available2025-10-24T18:10:33Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractIntroduction: Tuberculosis (TB) remains a public health problem worldwide. Peritoneal tuberculosis or tuberculous peritonitis (TBP) is an uncommon form of extrapulmonary infection with a proportional increasing of its incidence. This disease is seen most commonly in young adults, and has a highly variable clinical symptomatology. Our aim is to highlight the nonspecific presentation and diagnostic difficulties of the TBP. Materials and methods. We retrospectively reviewed 27 TBP cases diagnosed between 2003 and 2014. Clinical features, all diagnostic methods, and the outcomes of treatment were analyzed in view of literature. Results: Abdominal distension and pain were the most frequent symptoms. A past history of pulmonary TB was obtained in 4 patients. Additionally, concomitant extraperitoneal TB was found in 15 cases. Ascites was the most sonographic finding. Acid-fast staining of ascitic fluid was positive in 1/19. Peritoneal biopsy via laparoscopy or laparotomy was positive for TBP in 13/14. Duration of symptoms prior to diagnosis was found to be associated with prolongation of the treatment (p<0.001). In addition, pretreatment c-reactive protein was found to be significantly different between the patients requiring a standard therapy of 9 months and the patients requiring additional therapy of 3 months (p=0.023). Conclusion: The diagnosis of TBP is often difficult due to diverse presentation. The patient's anamnesis and the presence of ascites are the most significant marks in diagnosis. Laparoscopy with peritoneal biopsy seems to be the gold standard diagnostic method.
dc.identifier.endpage16
dc.identifier.issn0393-6384
dc.identifier.issn2283-9720
dc.identifier.issue1
dc.identifier.startpage11
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4255
dc.identifier.volume32
dc.identifier.wosWOS:000375337700001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherCarbone Editore
dc.relation.ispartofActa Medica Mediterranea
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectAscites; extrapulmonary tuberculosis; peritoneal tuberculosis; tuberculosis; tuberculous peritonitis
dc.titleEVALUATION OF TWENTY-SEVEN PATIENTS WITH TUBERCULOUS PERITONITIS
dc.typeArticle

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