El Abkari Mohammed, Benajah Dafr-Allah, Aqodad Nourdin, Bennouna Selma, Oudghiri Bouchra, Ibrahimi Adil
Service d'Hépato-Gastroentérologie, Hôpital Al Ghassani, CHU Hassan II, Fès, Maroc.
Gastroenterol Clin Biol. 2006 Mar;30(3):377-81. doi: 10.1016/s0399-8320(06)73191-8.
Peritoneal tuberculosis is an important public health issue in Morocco. Our aim was to describe the clinical, biological, and therapeutic features of peritoneal tuberculosis treated in a University Hospital in Morocco.
We retrospectively included 123 patients with peritoneal tuberculosis diagnosed at the gastroenterology unit of the Fes University Hospital between January 2001 and August 2003.
The mean age was 28 years with a clear female predominance (sex ratio 2.61). Ascites associated with fever were the most frequent signs found in 80.5% of patients. The ascitic fluid was exsudative in 90% of cases and lymphocytic in 88%. The diagnosis was based on laparoscopy or laparotomy with peritoneal biopsy demonstrating caseating granulomatous lesions in 92.4% of patients. Patients were given antituberculous therapy for 6 months, and the outcome was favourable in 90%.
Peritoneal tuberculosis is very frequent in Morocco, where the diagnosis is based exclusively on peritoneal biopsies obtained during laparoscopy. With an adapted treatment, the course of the disease is favourable in most cases.
腹膜结核在摩洛哥是一个重要的公共卫生问题。我们的目的是描述在摩洛哥一家大学医院接受治疗的腹膜结核的临床、生物学和治疗特征。
我们回顾性纳入了2001年1月至2003年8月在非斯大学医院胃肠病科确诊的123例腹膜结核患者。
平均年龄为28岁，女性明显居多（性别比为2.61）。腹水伴发热是最常见的体征，80.5%的患者出现此症状。90%的病例腹水为渗出液，88%为淋巴细胞性。诊断基于腹腔镜检查或剖腹手术及腹膜活检，92.4%的患者显示有干酪样肉芽肿病变。患者接受了6个月的抗结核治疗，90%的患者预后良好。
腹膜结核在摩洛哥非常常见，其诊断完全基于腹腔镜检查时获取的腹膜活检结果。通过适当的治疗，该病在大多数情况下病程良好。
