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Journal of Gastrointestinal Surgery

, Volume 19, Issue 5, pp 981–983 | Cite as

Abdominal Tuberculosis: Utility of Laparoscopy in the Correct Diagnosis

  • Mirko MuroniEmail author
  • Audrey Rouet
  • Isabelle Brocheriou
  • Sidney Houry
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Abstract

Introduction

Abdominal tuberculosis is one of the most prevalent form of extra-pulmonary disease, and the diagnosis is difficult because of non-specific clinical features.

Method

We presented a case of a Tunisian woman with cough, nausea, decreased appetite and pelvic-abdominal pain. CT scan showed peritoneal thickening, peritoneal tiny nodules and enlarged mesenteric lymph nodes ascitic fluid. Sputum analysis was negative. Abdominal paracentesis was performed, and no malignant cell was detected. The Ziehl staining revealed a negativity for acid-fast bacilli.

Results

Diagnostic laparoscopy was performed. Biopsy specimens of peritoneum, liver, omentum and diaphragm showed omental epithelioid granulomas with a centrale caseous necrosis and Langhans giant cells. The patient received anti-tubercular treatment.

Conclusions

In case of suspicion of tuberculosis, when bacteriologic and cytologic analysis is negative, laparoscopy with biopsies is helpful for correct diagnosis and appropriate management.

Keywords

Abdominal tuberculosis Epithelioid granuloma Central caseous necrosis Laparoscopy 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2015

Authors and Affiliations

  • Mirko Muroni
    • 1
    Email author
  • Audrey Rouet
    • 2
  • Isabelle Brocheriou
    • 3
  • Sidney Houry
    • 3
  1. 1.Department of General SurgeryHospital TenonParisFrance
  2. 2.Department of Internal MedicineHospital TenonParisFrance
  3. 3.Department of PathologyHospital TenonParisFrance

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