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https://doi.org/10.14300/mnnc.2021.16008

Abdominal tuberculosis: complex diagnostics of tuberculous enterocolitis

[Tuberculosis]
Mikhail Nikolaevich Reshetnikov; Plotkin Dmitry; Mikhail Valerievich Sinitsyn; Marina Valerievna Kalinina; Yulia Rashidovna Zyuzya; Tamila Ismailovna Abu Arkub;

In recent years, there has been an increase in the number of patients with generalized forms of tuberculosis. Most often, inflammation develops in the intestines, mesenteric lymph nodes and peritoneum. The analysis of examination of 67 patients with tuberculous enterocolitis, including 76.1 % with HIV infections, was carried out. According to the ultrasound data, signs of tuberculous enterocolitis were detected in 40.3 % of patients, while performing CT they were established in 83.6 % of cases. When making a diagnosis of intestinal tuberculosis, a high information content of colonoscopy with histological examination was noted. In cases of negative results of radiation methods and colonoscopy, the need for video laparoscopy with biopsy is indicated.

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Keywords: intestinal tuberculosis, abdominal tuberculosis, tuberculosis colitis, HIV infection, Mycobacterium tuberculosis, extrapulmonary tuberculosis