Peritoneal tuberculosis – report of 43 cases

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Published Apr 3, 2010
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Vol. 88 No. 4 (2010): Issue Apr 2010

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N.Bel Kahla
Nadia Naija
N Maamouri
Hajer Ouerghi
S Chouaib
F.B Hariz
H Chaabouni
Nabil Ben Mami

Abstract

Background: Peritoneal tuberculosis represents 0, 1 to 4% of all forms of tuberculosis.
Aim : The aim of our study is to describe clinical, therapeutic characteristics and the outcome of peritoneal tuberculosis.
Methods: Retrospective study of all cases of peritoneal tuberculosis diagnosed in gastroenterology B department – Rabta Hospital during a 12 years period (1996 to 2007).
Results: Forty three cases of peritoneal tuberculosis were included: 15 male and 28 female with mean age of 38years (extremes: 16 to 85years). Five patients were cirrhotic. Clinical manifestations were dominated by ascitis (83%). Ascitic fluid were exsudative in 97% of cases and lymphocytic in all cases. The diagnostic was based on coelioscopy with peritoneal biopsy in 26cases demonstrating caseating granulomatous lesions in 64% of cases. Extra peritoneal tuberculosis was noted in 60, 4% dominated by pleuro-pulmonary localisations. Patients were given antituberculous therapy for a mean duration of 9, 8 months and the outcome was favourable in 93%.
Conclusion: Peritoneal tuberculosis is still a medical problem in Tunisia. It is more common in young female. Diagnosis is based on the results of peritoneal biopsies during coelioscopy.

Keywords:

peritoneal tuberculosis, coelioscopy, peritoneal biopsy

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