Symptoms of tuberculous peritonitis

summary

In recent years, the incidence of tuberculosis has increased, tuberculous peritonitis is also more common. However, due to the difference of clinical manifestations and lack of specificity, it is easy to lead to misdiagnosis or missed diagnosis. The expert reminds, the diagnosis of atypical case has certain difficulty, should notice tuberculous peritonitis and surgical acute abdomen difference. Tuberculosis peritonitis symptoms to talk about.

Symptoms of tuberculous peritonitis

1、 Exudative type. It is also called ascites type. The visceral layer and parietal layer of peritoneum were hyperemia, edema and a large number of fibrous exudates. The whole peritoneum, including omentum and mesentery, can be seen yellow white or gray white small tuberculous nodules, and can fuse with each other to form massive. The serous exudate accumulated in the abdominal cavity can form ascites, which is generally grass yellow and sometimes bloody.

2、 Adhesion type. The peritoneum has a lot of fibrous hyperplasia, obvious thickening, and extensive adhesion with nearby organs, resulting in intestinal curvature compression and obstruction. The greater omentum also thickens and hardens due to fibrosis, and collapses into a mass. In severe cases, the abdominal cavity can be completely occluded. This type can be formed by absorption of exudative ascites, or adhesion at the beginning.

3、 Cheese type. This type is mainly caseous necrosis. Intestinal flexure, greater omentum, mesentery or other organs in the abdominal cavity adhere to each other and separate into many chambers. Caseous necrotic mesenteric lymph nodes are often mixed with each other to form tuberculous abscess. For a long time, the abscess can break to the intestinal wall, vagina or abdominal wall, forming internal or external fistula. This type of lesions is the most serious, mostly from the other two types.

matters needing attention

Tuberculous peritonitis is a chronic disease, the treatment principle is to strive for early, sufficient, long-term, and strive to achieve cure, prevent recurrence or complications. At the same time, pay attention to strengthen nutrition, prevent overwork.