10 cases of tuberculosis diagnosis and treatment of peritonitis.docVIP

 PAGE \* MERGEFORMAT 6 10 cases of tuberculosis diagnosis and treatment of peritonitis [Abstract] Objective To investigate the imaging characteristics of tuberculous peritonitis and treatment. Methods Retrospective analysis confirmed by pathology or clinical follow-up of 10 cases of tuberculous peritonitis and clinical data of the image. Results 10 cases, 9 cases of 17 to 45 years old. Are with typical symptoms of TB. CT mainly are: ascites in 7 cases; peritoneum, omentum, intestinal thickening in 6 cases; lymph node enlargement in 3 cases, some accompanied by more signs. All patients in the active anti-TB treatment, with significant early paracentesis of ascites fluid pumping, hormone therapy, were followed up for 2 years, the symptoms disappeared. Conclusions combination of clinical and CT, most cases can make the correct diagnosis and early appropriate treatment prognosis is good. [Keywords:] tuberculosis; peritonitis; diagnosis; early treatment Tuberculous peritonitis is caused by a chronic infectious TB disease, because of its specific clinical and imaging signs of small, relatively difficult treatment, this collection from January 2006 to October 2009 in 10 cases confirmed by pathology or clinical follow-up of TB peritonitis and clinical data of the image in order to enhance the understanding of the disease. 1 Materials and Methods 1.1 General Information The group of 3 males and 7 females, aged 17 to 67 years, of which less than 45 years and 9 patients (90%). The onset of symptoms to treatment time from 7 days to 4 months, an average of 53 d. are fever (fever mainly), night sweats, fatigue and other symptoms of TB, the Ministry of the main symptoms of abdominal distention and abdominal pain (10 cases), mostly abdominal pain or dull persistent pain, bloating feeling obviously, more in Cullen, lower abdomen sometimes in the whole abdomen. with pulmonary tuberculosis and tuberculosis of the spine in 2 cases. 2 patients had mild anemia, wei