Document Detail

Remarks on gastroenterologic diagnostics of amoebic liver abscess, peritoneal tuberculosis and tropical splenomegaly.
MedLine Citation:
PMID:  6499727     Owner:  NLM     Status:  MEDLINE    
The amoebic liver abscess, the peritoneal tuberculosis and the "tropical splenomegaly" belong to diseases which are frequent in warm countries but single cases appear also in moderate climate by intercontinental communications. False diagnoses especially in the first both can lead to severe rsp. fatal consequenses. Therefore experiences are dealed with, which have been gained within nearly one year in Ethiopia and which shall illustrate the diagnostic procedures under field conditions in warm countries as well as under conditions of modern hospitals in moderate climates. Amoebic liver abscess is quickly detected and confirmed by sonography and immunodiagnostic. Contrary to it in the fields there is the puncture by means of a i. v.-needle often not only the sole diagnostic but also the first and sometimes life-saving therapeutic procedure in advanced cases. It allows X-ray in double contrast technique if equipment is available. In suitable cases such approved technique shall be used also in modern clinics disposing of methods like sonography and computerized tomography. Concerning peritoneal tuberculosis our examinations agreed with the opinion of literature that the laparoscopy seems to be the most suitable method for quickly detection and safe discrimination from decompensated portal hypertension in liver cirrhosis. By the way the "cope needle" are mentioned which is distributed in warm countries for searching for peritoneal tuberculosis by performance of a blind peritoneal biopsy. It is easier than laparoscopy but not so efficient. - In this connection 31 cases examined by laparoscopy are presented in a table in order to give an impression on further indications to laparoscopy existing in such areas of warm countries.(ABSTRACT TRUNCATED AT 250 WORDS)
S Schubert; R Rohrberg; K D Rüdiger; G Mekasha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Deutsche Zeitschrift für Verdauungs- und Stoffwechselkrankheiten     Volume:  44     ISSN:  0012-1053     ISO Abbreviation:  Dtsch Z Verdau Stoffwechselkr     Publication Date:  1984  
Date Detail:
Created Date:  1985-01-09     Completed Date:  1985-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372760     Medline TA:  Dtsch Z Verdau Stoffwechselkr     Country:  GERMANY, EAST    
Other Details:
Languages:  eng     Pagination:  130-8     Citation Subset:  IM    
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MeSH Terms
Biopsy, Needle
Liver Abscess, Amebic / diagnosis*
Peritonitis, Tuberculous / diagnosis*,  pathology
Splenomegaly / diagnosis*

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