McLaughlin S, Jones T, Pitcher M, Evans P
Department of Surgery, Western Hospital, Footscray, Victoria, Australia.
Aust N Z J Surg. 1998 Aug;68(8):599-601. doi: 10.1111/j.1445-2197.1998.tb02108.x.
Abdominal tuberculosis (TB) is an uncommon condition in Western societies although Europe and America have noted an increase of this condition in immigrants and AIDS patients. This report documents three diagnosed cases of abdominal TB over a 12-month period in a Melbourne western suburbs teaching hospital which services a large migrant population. We also review the literature on this condition. If migrants present with diffuse abdominal symptoms, the diagnosis of abdominal tuberculosis should always be considered. Laparoscopy should replace diagnostic laparotomy as the definitive diagnostic tool.
腹部结核在西方社会并不常见,尽管欧洲和美国已注意到移民和艾滋病患者中这种疾病有所增加。本报告记录了墨尔本西郊一家为大量移民人口提供服务的教学医院在12个月内确诊的3例腹部结核病例。我们还回顾了关于这种疾病的文献。如果移民出现弥漫性腹部症状,应始终考虑腹部结核的诊断。腹腔镜检查应取代诊断性剖腹手术成为确诊的诊断工具。