title: [Laparoscopic aspects of peritoneal tuberculosis. Report of 163 cases].
abstract: The aim of this study is to report the results, the complications and limits of laparoscopy in patients with tuberculous peritonitis. In a retrospective study of 163 laparoscopy realized from 1970 to 1998. All the patients had exsudative ascites with predominantly of lymphocytes. Miliary nodules were found in 87% of cases, adhesions between the peritoneum and organs were found in 69% of cases and congestion in 63% of cases. Laparoscopically guide peritoneal biopsies detected caseating granulomas in 87% of cases. Laparoscopic appearance of the peritoneum mimicking a carcinosis in 15% of cases. One patient had complication as a bowel perforation. Miliary nodules and adherences are the more frequent appearances into peritoneal cavity in tuberculous peritonitis. With peritoneal biopsies, laparoscopy is always the best method for definitively and rapidly diagnosis of tuberculous peritonitis.
authors: Service de Gastro-entérologie, Hôpital Habib Thameur Tunis.
authors: Jamel
authors: J
authors: Kharrat
authors: Dalila
authors: D
authors: Gargouri
authors: Asma
authors: A
authors: Ouakaa
authors: Najet
authors: N
authors: Belhadj
authors: Afef
authors: A
authors: Kilani
authors: Asma
authors: A
authors: Kochlef
authors: Malika
authors: M
authors: Romani
authors: Raouf
authors: R
authors: Cherif
authors: Abdelmajid
authors: A
authors: Leltaief
authors: Mohamed
authors: M
authors: Ben Ayed
authors: Abdeljabbar
authors: A
authors: Ghorbel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000175:diagnosis / Q000473:pathology*; D012189:Retrospective Studies