World Journal of Laparoscopic Surgery

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VOLUME 14 , ISSUE 3 ( September-December, 2021 ) > List of Articles

Original Article

Role of Laparoscopy in Diagnosis of Abdominal Tuberculosis

Sarfaraj Pathan, Smita V Kakade, Sachin Ambre

Keywords : Abdominal tuberculosis, Laparoscopy, Visual impression

Citation Information : Pathan S, Kakade SV, Ambre S. Role of Laparoscopy in Diagnosis of Abdominal Tuberculosis. World J Lap Surg 2021; 14 (3):145-148.

DOI: 10.5005/jp-journals-10033-1459

License: CC BY-NC 4.0

Published Online: 05-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Introduction: To study the efficacy of visual impression of the peritoneal cavity by laparoscopy in the diagnosis of abdominal tuberculosis (TB). Materials and methods: Fifty patients with suspected abdominal Kochs underwent diagnostic laparoscopy, and the visual impression was compared with other tests like acid-fast bacillus (AFB) stain, AFB culture, histopathology, TB PCR and Gene Xpert. Observations: Out of 50 patients, 42 (84%) had positive visual findings on laparoscopy characterized by enlarged lymphadenopathy, ascites, peritoneal tubercles, and interbowel adhesions. Thirty-eight (76%) patients had positive histopathological findings and TB PCR, while thirty-nine (78%) patients had positive Gene Xpert. So, laparoscopic visualization of abdominal cavity is 100% sensitive for the diagnosis of abdominal tuberculosis. Conclusion: Laparoscopy is a safe and rapid method for the diagnosis of abdominal TB.


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