Peritoneal Tuberculosis: a Challenging Diagnosis
Keywords:
peritoneal tuberculosis, ascites, laparotomy.Abstract
Introduction: Tuberculosis is caused by the bacterium Mycobacterium tuberculosis which has dissemination to various parts of the body which causes it to occur in sites such as the peritoneum; the diagnosis often goes unnoticed due to non-specific symptoms or abdominal pain, fever and presence of ascites.
Objective: To present a case of peritoneal tuberculosis given the diagnostic challenge it implies in clinical practice.
Clinical case: 60-year-old male patient admitted for abdominal pain, associated with gastrointestinal symptoms, fever, weight loss and sweating, on physical examination as a positive sign ascites wave, with an abdominal CT scan showing abundant abdominal-pelvic free fluid, taken to exploratory laparotomy with sampling for biopsy where tuberculoid granulomas are evidenced, the diagnosis of peritoneal tuberculosis is given and he was discharged with treatment.
Conclusions: Peritoneal tuberculosis is a diagnosis that should be taken into account in the context of patients with ascites without evident cause, abdominal pain, fever and weight loss.
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