title: [Analysis of a series of 44 cases of peritoneal tuberculosis diagnosed in the pathology laboratory of the Tokoin teaching hospital of Lomé (1993-2014)].
abstract: It is a descriptive and cross-sectional study on all issues relating to peritoneal tuberculosis histological diagnosed in the pathology department (LAP) of the Lomé Tokoin CHU from January 1993 to December 2014 (20 years). A total of 44 cases of peritoneal tuberculosis were included. They were 18 women and 26 men, with a mean age of 37.6±0.2 years. The circumstances of discovery were dominated by ascites (84.1%), fever (75%), weight loss (63.6%) and abdominal pain (59.1%). The peritoneal involvement was isolated in 31.8% of cases, and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was present in 63.9% of cases. Twenty-five patients (69.4%) with information about their social conditions had low socioeconomic level: unemployed (10 cases; 40%), workers (10 cases; 40%) and retired (5 cases; 20%). An increase in cell count was observed in 94.6% of cases. Histology revealed the epithelial giant cell granuloma associated with caseous necrosis in 38 cases (86.4%) and cheesy isolated in 6 patients. Peritoneal tuberculosis is not exceptional in our country. The diagnosis should be considered in febrile ascites, and will be confirmed by laparoscopy with histological samples for a histological diagnosis.
authors.affiliation: Laboratoire d'anatomie et cytologie pathologiques, CHU Tokoin, Lomé, Togo. paolodarre@yahoo.fr.
authors.forename: T
authors.initials: T
authors.lastname: Darré
authors.affiliation: Service d'imagerie, CHU Campus et Tokoin, Lomé, Togo.
authors.forename: M
authors.initials: M
authors.lastname: Tchaou
authors.affiliation: Service d'imagerie, CHU Campus et Tokoin, Lomé, Togo.
authors.forename: L
authors.initials: L
authors.lastname: Sonhaye
authors.affiliation: Service des maladies infectieuses, Tokoin, Lomé, Togo.
authors.forename: A A
authors.initials: AA
authors.lastname: Patassi
authors.affiliation: Services de chirurgie viscérale, CHU Tokoin, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Kanassoua
authors.affiliation: Services de chirurgie viscérale, CHU Tokoin, Lomé, Togo.
authors.forename: B
authors.initials: B
authors.lastname: Tchangai
authors.affiliation: Laboratoire d'anatomie et cytologie pathologiques, CHU Tokoin, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Amegbor
authors.affiliation: Laboratoire d'anatomie et cytologie pathologiques, CHU Tokoin, Lomé, Togo.
authors.forename: G
authors.initials: G
authors.lastname: Napo-Koura
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001201:Ascites / Q000209:etiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D005334:Fever / Q000209:etiology; D015658:HIV Infections / Q000453:epidemiology; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D014395:Peritonitis, Tuberculous / Q000453:epidemiology*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014037:Togo / Q000453:epidemiology; D014374:Tuberculin Test; D015431:Weight Loss
keywords: Ascites; Caseating; Hospital; Inflammatory granuloma; Lomé; Peritoneal tuberculosis; Sub-Saharan Africa; Togo