Pathophysiology
doi: 10.25005/2074-0581-2018-20-4-431-435
ULTRASOUND DIAGNOSTICS OF ABDOMINAL TUBERCULOSIS IN THE CONDITIONS OF THE OUTPATIENT-DIAGNOSTIC DEPARTMENT

N.K. Moydunova1, G.K. Turdumambetova2, A.S. Kadyrov1

1National Center for Phthisiology, Bishkek, Kyrgyz Republic
2Department of Phthisiology, Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic

Objective: To develop ultrasound semiotics for primary verification of abdominal tuberculosis (ATB) at the outpatient stage of the survey

Methods: 121 patients with ATB (group I, primary) and 68 patients (group II, control) with abdominal lesions of nontuberculous aetiology (hepatitis B, C, cirrhosis, cardiac abnormalities with ascites, kidney failure with ascites, ovarian cancer) were analyzed and compared using ultrasound examination.

Results: Statistically significant differences in the ultrasound pattern of the compared groups were obtained (p<0.001): in groups I and II, the tendency to early consolidation of the ascitic fluid and the formation of inter-serpentine «encapsulated pockets» were detected in 56.2±3.9% and 5.8±4.9% of the cases, respectively. Acoustic heterogenity of ascites fluid – in 66.9±3.2% and 22.1±3.9% observations. The presence of an infiltrate in the right ileocecal angle was found in 53.7±3.0%, the peritoneum thickening in 95.8±2.6%, and fibrin filaments between the peritoneal sheets in 58.6±3.1% of patients I group.

Conclusion: With limited capabilities of general medical practitioners, ultrasound can sufficiently differentiate specific manifestations of ATB (abdominal thickening, fibrinose-adhesive overlays on the intestine and peritoneum, enlargement of mesenteric lymph nodes, infiltrates in the right ileocecal angle, fibrin filaments between the peritoneal sheets and echogenic components against the background of ascites fluid) from the nontuberculous changes in the abdominal cavity.

Keywords: Extrapulmonary tuberculosis, abdominal tuberculosis, ultrasound diagnosis.

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Authors' information:

Moydunova Nestan Kubanychbekovna,
Candidate of Medical Sciences, Doctor of Ultrasound Diagnostics, Outpatient and Diagnostic Department of the National Center for Phthisiology

Turdumambetova Gulnura Keneshbekovna,
Candidate of Medical Sciences, Associate Professor, Head of the Department of Phthisiology of the Kyrgyz State Medical Academy named after I.K. Akhunbaev

Kadyrov Abdullat Samatovich,
Doctor of Medical Sciences, Full Professor, Director of the National Center for Phthisiology

Conflicts of interest: No conflict

Address for correspondence:

Moydunova Nestan Kubanychbekovna

Candidate of Medical Sciences, Doctor of Ultrasound Diagnostics, Outpatient and Diagnostic Department of the National Center for Phthisiology

720020, Kyrgyz Republic, Bishkek, Akhunbaev str., 90a

Tel.: +996 (557) 513598

E-mail: nestan07@mail.ru

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