Tuberculosis intestinal y peritoneal intestinal and peritoneal tuberculosis blanca caridad piedra herrera, 1 ricardo barbero arencibia, 2 yanet acosta piedra 3 1 medico. Abdominal tuberculosis tb includes involvement of the gastrointestinal tract, peritoneum, lymph nodes, andor solid organs. Peritoneal tuberculosis accounts for 34% of all presentations of tuberculosis. Cases of tuberculosis tb, including tp, have recently risen. It may also spread from infected abdominal or pelvic structures, however, this is a rare occasion 3. A young female patient who presented with abdomen tenderness and diagnosed with peritoneal tuberculosis as a result of performed. Intestinal tuberculosis a recent series which highlights the intestinal tubeculosis provides a elaborate view of symptomatology of the colonic tuberculosis table 2. It is a great mimicker and the diagnosis is difficult due to low sensitivity of histological and. Tuberculosis extraabdominal fue encontrada en 22 pacientes 63,32%. Tp mainly occurs via the hematogenous spread of mycobacterium tuberculosis microorganisms from the affected lungs. Although historically associated with drinking unpasteurized milk, more recently, intestinal tuberculosis. Tuberculous abdominal cocoon mimicking peritoneal carcinomatosis zhixin meng1, yan liu2, rui wu1, kai shi1 and tao li1 abstract background.
Gastrointestinal and peritoneal tuberculosis springerlink. Tuberculous peritonitis tp is a rare, extrapulmonary manifestation of tuberculosis 1 2. As a rare clinical entity, it is often encountered unexpectedly in patients with small intestinal obstruction. Abdominal tuberculosis of the gastrointestinal tract. Intestinal disease is rare and can be difficult to diagnose because its symptoms and laboratory results are nonspecific. Tuberculosis peritoneal e intestinal gastro peritoneo. Diagnosing peritoneal tuberculosis bmj case reports. This chapter focuses on tuberculosis involving the gastrointestinal tract and peritoneum both of which are almost certainly underdiagnosed with the resulting loss of treatment opportunities. Here we presented a rare case of tuberculous abdominal cocoon which was suspected to be peritoneal carcinomatosis and was finally diagnosed by. Abdominal tuberculosis, which is a form of extrapulmonary tuberculosis, affects the gastrointestinal tract, spleen, pancreas, liver, peritoneum, omentum and lymph nodes adjacent to. Tuberculosis intestinal y peritoneal scielo infomed. Differentiation between intestinal tuberculosis and chron. It should always be considered in differential diagnosis, but the diagnosis is rarely easy for clinicians.
Abdomen agudo perforativo por tuberculosis intestinal. Eight per cent of 1,801 consecutive patients at the trudeau sanatorium had definite intestinal tuberculosis. Tuberculosis intestinal y peritoneal piedraherrera. Rx torax infiltrado bilateral intersticio alveolar. Traditionally the peritoneal tb is divided into three types. Peritoneal tuberculosis is rare with increased incidence rates in recent years.
We present the case of 61yearold female with peritoneal tuberculosis. Scribd is the worlds largest social reading and publishing site. Peritoneal tuberculosis is a disease which can mimick malignancy especially in women who present with ascites and elevated ca125 levels. Abdominal tuberculosis may affect the gastrointestinal tract, the peritoneum, intraabdominal lymph nodes and the solid abdominal viscera. The absence of characteristic clinical features of the disease often makes its diagnosis difficult and elusive. Corticosteroid treatment of peritoneal tuberculosis pdf. Tuberculosis intestinal y peritoneal tuberculosis rtt.
Abdominal tuberculosis is an important concern for clinicians in the tropical world. Intestinal and or peritoneal tuberculosis and its involvement in the acute abdomen. Abdominal tb comprises around 5 percent of all cases of tb worldwide. In addition, endoscopic lesions resemble those of other diseases such as crohns disease cd. The patient suffered from abdominal pain for a period of 5 months prior to admission. Tuberculous abdominal cocoon is an uncommon manifestation of abdominal tuberculosis. Appropriate definition of response is uncertain but mucosal healing for intestinal tuberculosis and ascites resolution for peritoneal tuberculosis can be used as objective criteria to define. Intestinal tuberculosis an overview sciencedirect topics. Intestinal tuberculosis is the most frequent complication of pulmonary tuberculosis and is found in from 50 to 80 per cent or even more of all autopsies performed on patients who have died from pulmonary tuberculosis.
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