Role of Coelioscopy in the Etiologic Diagnosis of Exudative Ascites of Unknown Origin of the Women ()
Affiliation(s)
1Department of Digestive Surgery, Sahloul Hospital, Sousse, Tunisia.
2Department of Gastroenterology, Sahloul Hospital, Sousse, Tunisia.
3Department of Preventive Medicine, Sahloul Hospital, Sousse, Tunisia.
4Department of Gynecology, Farhat Hached Hospital, Sousse, Tunisia.
5Department of Pathology, Farhat Hached Hospital, Sousse, Tunisia.
ABSTRACT
Introduction:
The aim of this study was to clarify the role of laparoscopy in the etiological
diagnosis of exudative ascites of unknown origin in women. Materials and
Methods: This was a prospective study from 2007 to 2012,
including 83 women with exudative ascites of unknown origin and had a
laparoscopy diagnostic purpose. Results: Carcinomatosis and peritoneal
tuberculosis were the two most common causes found in 31% (26 cases) and 66%
(55 cases) of cases respectively. The average age of the patients was 56 years.
Weight loss and abdominal pain were the most frequent, observed symptoms in 71
cases (85.5%) and 53 cases (63.8%) respectively. The CT scan abnormalities
noted were a peritoneal
thickening in 32 cases (38.5%), peritoneal nodules in 15 cases (18%), and
agglutination of the digestive handles in 12 cases (14.4%). Laparoscopic Visual
diagnosis was in favor of a peritoneal carcinomatosis in 32 cases (38.5%),
peritoneal tuberculosis in 45 cases (54.2%), and non specific infection in 6
cases (7.3%). The histological diagnosis was a peritoneal carcinomatosis in 26
cases (31%), and peritoneal tuberculosis in 55 cases (66%). The positive
predictive value of laparoscopic vision Diagnostics in Peritoneal tuberculosis
was 100% and the negative predictive value was 73.7%. In peritoneal carcinomatosis,
the positive predictive value was 81.3% and the negative predictive value was
100%. Conclusion: The etiologic diagnosis of exudative ascites in women is
difficult despite the availability of several tests. Currently, laparoscopy
with peritoneal biopsy remains the gold standard for etiologic diagnosis.
Share and Cite:
Mabrouk, M. , Trabelsi, A. , Rejeb, M. , Jaziri, H. , Ksiaa, M. , Bouguizane, S. , Sriha, B. , Jmaa, A. and Ali, A. (2015) Role of Coelioscopy in the Etiologic Diagnosis of Exudative Ascites of Unknown Origin of the Women.
Journal of Cancer Therapy,
6, 466-471. doi:
10.4236/jct.2015.65050.
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