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).


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.

  1. Fallis A. Tb India 2016 by RNTCP annual report. J Chem Inf. Model 2015; 1:1–60. Available from:
  2. Saxena P, Saxena S. The role of laparoscopy in diagnosis of abdominal tuberculosis. Int Surg J 2016:3(3):1557–1563. DOI: 10.18203/2349-2902.isj20162747.
  3. Islam J, Clarke D, Thomson SR, et al. A prospective audit of the use of diagnostic laparoscopy to establish the diagnosis of abdominal tuberculosis. Surg Endosc 2014;28(6):1895–1901. DOI: 10.1007/s00464-013-3410-9.
  4. Mir SA. Diagnostic laparoscopy overtaking other diagnostic modalities in peritoneal tuberculosis. Int J Adv Res 2013 1(10):43–47.
  5. Rai S, Thomas WM. Diagnosis of abdominal tuberculosis: the importance of laparoscopy. J R Soc Med 2003;96:586–588. DOI: 10.1258/jrsm.96.12.586.
  6. Suarez Grau JM. Atypical peritoneal tuberculosis. Use of laparoscopy in the diagnosis. Rev Esp Enferm Dig 2007;99(12):725–728. DOI: 10.4321/s1130-01082007001200010.
  7. Rai S. Diagnosis of abdominal tuberculosis: the importance of laparoscopy. J R Soc Med 2003;96(12):586–588. DOI: 10.1258/jrsm.96.12.586.
  8. Singh DP. Laparoscopy as method of choice for diagnosing and treating peritoneal and intestinal tuberculosis: a muiltcentric study. Int J Recent Trends Sci Technol 2017;24(1):21–23. Available from:
  9. Apayadin B. Value of diagnostic laparoscopy in tuberculous peritonitis. Eur J Surg 165;158–163. DOI: 10.1080/110241599750007360.
  10. Abdelaal A. Role of laparoscopic peritoneal biopsy in the diagnosis of peritoneal tuberculosis. A seven-year experience. Chirurgia 2014;109:330–334. Available from:
  11. Mohamed A. Role of laparoscopy in diagnosis of abdominal tuberculosis. Internet J Infect Dis 2010;8:2. DOI: 10.18535/jmscr/v6i9.89.
  12. Akgun Y. Intestinal and peritoneal tuberculosis: changing trends over 10 years and a review of 80 patients. Can J Surg 2005;48(2):131–136. Available from:
  13. Sattar Z. Laparoscopic findings of abdominal tuberculosis. PJMHS 2009;3:2.
  14. Chugh SN, Jain V. Abdominal tuberculosis – current concepts in diagnosis and management. Available from:
  15. Ghimire R. Isolated mesentric tuberculosis. MJSBH 2016;15(2):65–69. DOI: 10.3126/mjsbh.v15i2.17206.
  16. Chow KM. Indication for peritoneal biopsy in tuberculous peritonitis. Am J Surg 2003;185:567–573. DOI: 10.1016/s0002-9610(03)00079-5.
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