Phthisiology

doi: 10.25005/2074-0581-2019-21-1-95-100
IMPROVEMENT RESULTS OF DIAGNOSIS AND TREATMENT OF ABDOMINAL TUBERCULOSIS

F.I. Makhmadov1,2, M.S. Asoev1

1Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Istiklol Medical Complex, Dushanbe, Republic of Tajikistan

Objective: To improve the results of diagnosis and surgical treatment of abdominal tuberculosis (AT)

Methods: The results of the diagnosis and treatment of 56 patients with AT were studied. Clinical, laboratory and instrumental methods of investigation, including ultrasound (US) and computed tomography (CT) were used. In 49 cases video laparoscopy was made, both in terms of diagnosis and treatment

Results: With US of the abdominal cavity in patients with AT, there has been a specific ultrasound semiotics with the form of having a free fluid, moderate inflating the intestinal loops and reducing peristalsis. Thickening and knotty of the parietal and, in places, the visceral peritoneum were additional signs of AT. Radiographically, in 17 (30.3%) patients, local spasm, spastic filling defect, delay of barium suspension in the iliac either caecum «reared» loops of small intestine and segmental expansion of intestinal loops. 21 observations of CT showed itself as the most effective imaging method. Tuberculosis of the liver and spleen (n=5) with CT has manifested itself in the form of tiny low-density foci distributed throughout the body. Video laparoscopy in 34 (69.4%) cases revealed hypertrophic form of AT, in 10 (20.4%) – ulcerative-hypertrophic and in 5 (10.2%) observations – ulcerative form of AT. After taking a biopsy and fluid, aeration and irradiation of the abdominal cavity was carried out with ultraviolet rays. In 2 (4.1%) cases, the conversion was completed. In the postoperative period, all patients received symptomatic therapy. No early ostoperative complications were noted

Conclusions: Both US and CT were the most effective in terms of non-invasive diagnosis. Videolaparoscopy along with an important diagnostic value in some cases can be effectively used as a therapeutic method.

Keywords: Abdominal tuberculosis, diagnosis, surgical treatment, computed tomography, video laparoscopy.

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Authors informations:

Makhmadov Farukh Isroilovich , of Medical Sciences, Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University; First Deputy Director of the Istiklol Medical Complex

Asoev Mukhridin Sadurdinovich , Competitor at the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University

Address for correspondence:

Makhmadov Farukh Isroilovich
Doctor of Medical Sciences, Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (900) 754490

E-mail: fmahmadov@mail.ru

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