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| 1 | Diagnosis of abdominal tuberculosis:Experience from 11 cases and review of the literature显示文摘AIM: To analyze the experience within our hospital and to review the literature so as to establish the best means of diagnosis of abdominal tuberculosis.METHODS: The records of 11 patients (4 males, 7 females,mean age 39 years, range 18-65 years) diagnosed with abdominal tuberculosis in Harran University Hospital between January 1996 and October 2003 were analyzed retrospectively and the literature was reviewed.RESULTS: Ascites was present in all cases. Other common findings were weight loss (81%), weakness (81%), abdominal mass (72%), abdominal pain (72%), abdominal distension (63%), anorexia (45%) and night sweat (36%). The average hemoglobin was 8.2 g/dL and the average ESR was 50 mm/h (range 30-125). Elevated levels of cancer antigen CA-125 were determined in four patients. Abdominal ultrasound showed abnormalities in all cases: ascites in all, tuboovarian mass in five, omental thickening in 3, and enlarged lymph nodes (mesenteric, para-aortic) in 2. CT scans showed ascites in all, pelvic mass in 5, retroperitoneal lymphadenopathy in 4, mesenteric stranding in 4, omental stranding in 3,bowel wall thickening in 2 and mesenteric lymphadenopathy in 2. Only one patient had a chest radiograph suggestive of a new TB lesion. Two had a positive family history of pulmonary TB. None had acid-fast bacilli (AFB) in the sputum and the tuberculin test was positive in only two. Laparotomy was performed in 6 cases, laparoscopy in 4 and ultrasoundguided fine needle aspiration in 2. In those patients subjected to operation, the findings were multiple diffuse involvement of the visceral and parietal peritoneum, white'miliary nodules' or plaques, enlarged lymph nodes, ascites,'violin string' fibrinous strands, and omental thickening.Biopsy specimens showed granulomas, while ascitic fluid showed numerous lymphocytes. Both were negative for acid-fast bacilli by staining. PCR of ascitic fluid was positive for Mycobacterium tuberculosis ( M. tuberculosis) in all cases.CONCLUSION: Abdominal TB should be considered in all cases with ascites. Our experience suggests that PCR of ascitic fluid obtained by ultrasound-guided fine needle aspiration is a reliable method for its diagnosis and should at least be attempted before surgical intervention. | Ali Uzunkoy MugeHarma MehmetHarma | 2004 | World Journal of Gastroenterology2004，10，24： | 19 |
| 2 | A dramatic response to ketotifen in a case of eosinophilic gastroenteritis mimicking abdominal emergency显示文摘 | Bolukbas FF Bolukbas C Uzunkoy A ctal | 2004 | Dig Dis Sci2004，49，1112： | 1 |
| 3 | Simple and effectivesurgical treatment of pilonidal sinus: asymmetric excision andprimary closure using suclion drain and subcuticular skinclosure显示文摘 | Akinci OF Coskun A Uzunkoy A | 2000 | Dis Colon He( tum2000，43，： | 1 |
| 4 | Experimental sodium phosphate and polyethylene glycol induce colonic tissue damage and oxidative stress显示文摘 | Coskun A Uzunkoy A Duzgun SA | 2001 | Br J Surg2001，88，1： | 1 |
| 5 | Experimental sodium phosphate and polyethylene glycol induce colonic tissue damage and oxidative stress显示文摘 | Coskun A Uzunkoy A Duzgun SA | 2001 | Br J Surg2001，88，1： | 1 |
| 6 | Systemic stress repsonses after laparoscopic or open heria repair显示文摘 | Uzunkoy A Coskun AO Aklnel F | 2000 | Eur J Surg2000，166，： | 1 |
| 7 | Simple and effective surgical treatment of pilonidal sinus : asymmetric excision and primary closure using suction drain and subcuticulor skin closure 显示文摘 | Akinci OF Coskun A Uzunkoy A | 2000 | Dis Colon Rectum2000，43，5： | 1 |
| 8 | Simple and effective surgical treatment of pilonidal sinus:asymmetrci excision and primary closure using suction drain and subcuticulor skin closure显示文摘 | Akinci OF Cosrun A Uzunkoy A | 2000 | Dis Colon Rectum2000，43，7： | 1 |
| 9 | Systemic stress responses after laparoscopic or open hernia repair显示文摘 | Uzunkoy A Coskun A Akinci OF | 2000 | Eur J Surg2000，166，： | 1 |
| 10 | Investigation of CTLA-4 and CD28gene polymorphisms in a group of Turkish patients with col- t)rectal cancer显示文摘 | Dilmec F Ozgonul A Uzunkoy A | 2008 | Int J Imrnunogenet2008，35，45： | 1 |
| 11 | Systemic Stress Responses after Laparoscopic or Open Heria Repair显示文摘 | Ali Uzunkoy Ali Coskun O Faruk AKlncl | 2000 | Eur J Surg2000，166，： | 1 |
| 12 | The influence of omentectomy on bacterial clearance: an experimental study显示文摘 | Uzunkoy A Ozbilge H Horoz M | 2009 | Ulus Travma Acil Cerrahi Derg2009，15，6： | 1 |
| 13 | Changes in cuff pressure of endotracheal tube duringlaparoscopic and open abdominal surgery显示文摘 | YILDIRIM Z B UZUNKOY A CIGDEM A | 2012 | Surg Endosc2012，26，2： | 1 |
| 14 | Simple and effectivesurgical treatment of pilonidal sinus: asymmetric exci-sion and primary closure using suction drain and subcu-ticulor skin closure 显示文摘 | Akinci OF Cosrun A Uzunkoy A | 2000 | Dis Colon Rectum2000，43，7： | 1 |
| 15 | Experimental sodium phosphate and polyethylene glycol induce colonic tissue damage and oxidative stress显示文摘 | Coskun A Uzunkoy A Duzgun SA | 2001 | Br J Surg2001，88，1： | 1 |
| 16 | Changes in cuff pressure of endotracheal tube during laparoscopic and open abdominal surgery显示文摘 | Yildirim ZB Uzunkoy A Cigdem A | 2012 | Surg Endosc2012，26，2： | 1 |
| 17 | Case Report: A Dramatic Response to Ketotifen in a Case of Eosinophilic Gastroenteritis Mimicking Abdominal Emergency显示文摘 | Fusun F. Bolukbas Cengiz Bolukbas Ali Uzunkoy Fusun Baba Mehmet Horoz Ebru Ozturk | 2004 | Digestive Diseases and Sciences (-)2004，，11： | 1 |
| 18 | Protective Effects of Selenium and Vitamin E Combination on Experimental Colitis in Blood Plasma and Colon of Rats显示文摘 | Muharrem Bitiren Ali Ziya Karakilcik Mustafa Zerin Ilyas Ozardal? Sehabettin Selek Ya?ar Nazl?gül Abdullah Ozgonul Davut Musa Ali Uzunkoy | 2010 | Biological Trace Element Research2010，，1： | 1 |
| 19 | Experimental sodium phosphate and polyethylene glycol induce colonic tissue damage and oxidative stress显示文摘 | Coskun A Uzunkoy A Duzgun SA | | 0，，01： | 1 |
| 20 | The effect of carbon dioxide pneumoperitoneum on the severity of peritonitis显示文摘 | UZUNKOY A OZARDALI I CELIK H | 2012 | Ulus Travma Acil Cerrahi Derg2012，18，2： | 1 |
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