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Copyright (c) 2022 Rosa Amalia Dueñas Cuellar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Tomographic findings in peritoneal tuberculosis: case report
Corresponding Author(s) : Cristhian Camilo Rivera
Ciencia e Innovación en Salud,
2022
Abstract
Introduction: Peritoneal tuberculosis (TBCP) is a diagnostic challenge because the clinical, radiological and laboratory findings are nonspecific and can be confused with other pathologies. Presentation of the clinical case: Patient who consulted for intense abdominal pain, fever and diarrhea. TBCP was suggested based on abdominal CT findings, which was confirmed by histopathological analysis of parietal peritoneum biopsy and granulomatous lesions of the small intestine mesentery. The patient received an antituberculous regimen and was discharged from the hospital. Discussion and literature review: CPTB represents between 25-50% of abdominal tuberculosis cases and 0.1-0.7% of all tuberculosis cases, its clinical presentation includes ascites, abdominal pain, fever and diarrhea, making it indistinguishable from tuberculosis. Bacterial peritonitis and other chronic abdominal conditions. Conclusions: The diagnosis of TBCP is a challenge, however, the tomographic findings provide information that increases its suspicion and helps to avoid treatment delay and complications.
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- Karanikas M, Porpodis K, Zarogoulidis P, Mitrakas A, Touzopoulos P, Lyratzopoulos N, et al. Tuberculosis in the peritoneum: not too rare after all. Case reports in gastroenterology. 2012;6(2):369-74. DOI:10.1159/000339764.
- Wu DC, Averbukh LD, Wu GY. Diagnostic and therapeutic strategies for peritoneal tuberculosis: a review. Journal of clinical and translational hepatology. 2019;7(2):140. DOI:10.14218/JCTH.2018.00062.
- Sanai F, Bzeizi K. Systematic review: tuberculous peritonitis–presenting features, diagnostic strategies and treatment. Alimentary pharmacology & therapeutics. 2005;22(8):685-700. DOI:10.1111/j.1365-2036.2005.02645.x.
- Rocha ELd, Pedrassa BC, Bormann RL, Kierszenbaum ML, Torres LR, D’Ippolito G. Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings. Radiologia brasileira. 2015;48(3):181-91. DOI:10.1590/0100-3984.2013.1801.
- Kumar S, Gupta P, Sharma V, Mandavdhare H, Bhatia A, Sinha S, Dhaka N, Srinivasan R, Dutta U KR. Role of Ultrasound-Guided Fine-Needle Aspiration Cytology of Omentum in Diagnosis of Abdominal Tuberculosis. Surg Infect (Larchmt),. 2019;20(1):91-4. DOI:10.1089/sur.2018.165
- Malik A, Saxena N. Ultrasound in abdominal tuberculosis. Abdominal Radiology. 2003;28(4):0574-9. DOI:10.1007/s00261-002-0061-z.
- Gupta P, Kumar S, Sharma V, Mandavdhare H, Dhaka N, Sinha SK, Dutta U KR. Common and uncommon imaging features of abdominal tuberculosis. J Med Imaging Radiat Oncol,. 2019;63(3):329–39. DOI:10.1111/1754-9485.12874
- Flores LS, Solís AH, Gutiérrez AE, José LCC, Ortiz IC, González HG, et al. Peritoneal tuberculosis: A persistent diagnostic dilemma, use complete diagnostic methods. Revista Médica Del Hospital General De México. 2015;78(2):55-61. DOI:10.1016/j.hgmx.2015.03.009.
- Na-Chiang Mai W, Pojchamarnwiputh S, Lertprasetsuke N, Chitapanarux T. CT findings of tuberculous peritonitis. Singapore medical journal. 2008;49(6):488.
- Bhargava DK, Chopra P, Nijhawan S, Dasarathy S, Kushwaha AK. Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. American Journal of Gastroenterology (Springer Nature). 1992;87(1).
- Aslan B, Tüney D, Almoabid ZAN, Erçetin Y, Seven İE. Tuberculous peritonitis mimicking carcinomatosis peritonei: CT findings and histopathologic correlation. Radiology case reports. 2019;14(12):1491-4. DOI:10.1016/j.radcr.2019.09.026.
- Ahamed Z R, Shah J, Agarwala R, Kumar-M P, Mandavdhare HS, Gupta P, et al. Controversies in classification of peritoneal tuberculosis and a proposal for clinico-radiological classification. Expert review of anti-infective therapy. 2019;17(8):547-55. DOI:10.1080/14787210.2019.1642746.
References
Karanikas M, Porpodis K, Zarogoulidis P, Mitrakas A, Touzopoulos P, Lyratzopoulos N, et al. Tuberculosis in the peritoneum: not too rare after all. Case reports in gastroenterology. 2012;6(2):369-74. DOI:10.1159/000339764.
Wu DC, Averbukh LD, Wu GY. Diagnostic and therapeutic strategies for peritoneal tuberculosis: a review. Journal of clinical and translational hepatology. 2019;7(2):140. DOI:10.14218/JCTH.2018.00062.
Sanai F, Bzeizi K. Systematic review: tuberculous peritonitis–presenting features, diagnostic strategies and treatment. Alimentary pharmacology & therapeutics. 2005;22(8):685-700. DOI:10.1111/j.1365-2036.2005.02645.x.
Rocha ELd, Pedrassa BC, Bormann RL, Kierszenbaum ML, Torres LR, D’Ippolito G. Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings. Radiologia brasileira. 2015;48(3):181-91. DOI:10.1590/0100-3984.2013.1801.
Kumar S, Gupta P, Sharma V, Mandavdhare H, Bhatia A, Sinha S, Dhaka N, Srinivasan R, Dutta U KR. Role of Ultrasound-Guided Fine-Needle Aspiration Cytology of Omentum in Diagnosis of Abdominal Tuberculosis. Surg Infect (Larchmt),. 2019;20(1):91-4. DOI:10.1089/sur.2018.165
Malik A, Saxena N. Ultrasound in abdominal tuberculosis. Abdominal Radiology. 2003;28(4):0574-9. DOI:10.1007/s00261-002-0061-z.
Gupta P, Kumar S, Sharma V, Mandavdhare H, Dhaka N, Sinha SK, Dutta U KR. Common and uncommon imaging features of abdominal tuberculosis. J Med Imaging Radiat Oncol,. 2019;63(3):329–39. DOI:10.1111/1754-9485.12874
Flores LS, Solís AH, Gutiérrez AE, José LCC, Ortiz IC, González HG, et al. Peritoneal tuberculosis: A persistent diagnostic dilemma, use complete diagnostic methods. Revista Médica Del Hospital General De México. 2015;78(2):55-61. DOI:10.1016/j.hgmx.2015.03.009.
Na-Chiang Mai W, Pojchamarnwiputh S, Lertprasetsuke N, Chitapanarux T. CT findings of tuberculous peritonitis. Singapore medical journal. 2008;49(6):488.
Bhargava DK, Chopra P, Nijhawan S, Dasarathy S, Kushwaha AK. Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. American Journal of Gastroenterology (Springer Nature). 1992;87(1).
Aslan B, Tüney D, Almoabid ZAN, Erçetin Y, Seven İE. Tuberculous peritonitis mimicking carcinomatosis peritonei: CT findings and histopathologic correlation. Radiology case reports. 2019;14(12):1491-4. DOI:10.1016/j.radcr.2019.09.026.
Ahamed Z R, Shah J, Agarwala R, Kumar-M P, Mandavdhare HS, Gupta P, et al. Controversies in classification of peritoneal tuberculosis and a proposal for clinico-radiological classification. Expert review of anti-infective therapy. 2019;17(8):547-55. DOI:10.1080/14787210.2019.1642746.