2020 / 02

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DOI: 10.24075/brsmu.2020.018

ORIGINAL RESEARCH

Transabdominal ultrasound as a screening stage for the diagnosis of tuberculous peritonitis

Plotkin DV1,2, Kirillova OV1, Nikanorov AV3, Reshetnikov MN1, Shtykhno АО1, Loshkareva EO2, Korotkova ES2, Sinitsyn MV1
About authors

1 Moscow Research and Clinical Center for TB Control, Moscow, Russia

2 Pirogov Russian National Research Medical University, Moscow, Russia

3 The Loginov Moscow Clinical Scientific Center, Moscow, Russia

Correspondence should be addressed: Dmitry Vladimirovich Plotkin
Ostrovitianova, 1, Moscow, 117997; ur.tsil@31nk

About paper

Compliance with ethical standards: the study was approved by the Ethics Committee of the Moscow Research and Clinical Center for TB Control (protocol №.12 dated December 9, 2019). The informed consent was submitted by all study participants.

Author contribution: Plotkin DV, Reshetnikov MN, Nikanorov AV, Sinitsyn MV — study concept and design, overall management; Kirillova OV, Shtykhno АО, Loshkareva EO — sample collection; Korotkova ES, Plotkin DV — statistical analysis; Plotkin DV, Reshetnikov MN, Kirillova OV, Nikanorov AV — data analysis; Plotkin DV, Reshetnikov MN — manuscript writing; Kirillova OV, Shtykhno АО, Nikanorov AV — editing. Compliance with ethical standards: the study was approved by the Ethics Committee of the Moscow Research and Clinical Center for TB Control (protocol №.12 dated December 9, 2019). The informed consent was submitted by all study participants.

Received: 2020-03-17 Accepted: 2020-04-04 Published online: 2020-04-12
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Fig. 1. Tuberculous peritonitis. А. Sonogram: 1 — paretic bowel loops, 2 — exudate. B. Sonogram: 1 — intra-peritoneal caseous abscess, 2 — tubercle, 3 — parietal peritoneum striated pattern. C. Laparoscopy. D. Sonogram: heterogeneous fibrinous effusion and paretic loops of the small intestine
Fig. 2. Tuberculous peritonitis. А. Laparoscopy: fibrin overlays forming septa. B. Sonogram: 1 — intestinal loops, 2 — exudate, 3 — fibrin strands forming septa. C. Sonogram: tubercle (7 mm). D. Laparoscopy: tubercles on the parietal peritoneum
Fig. 3. Granulomatous peritonitis and carcinomatosis. А. Sonogram: peritoneal carcinomatosis associated with sigmoid colon cancer. 1 — disseminated tumors (17 and 8 mm), 2 — ascites. B. Sonogram: encysted ascites associated with ovarian cancer. C. Laparoscopy: parietal peritoneum carcinomatosis. D. Laparoscopy: peritoneal sarcoidosis
Fig. 4. Tactical algorithm for the tuberculous peritonitis diagnosis
Table 1. Direct and indirect signs of tuberculous peritonitis (the significance level is 0.95)
Table 2. Integral table of sonographic symptoms occurrence in patients with tuberculous peritonitis