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Journal articles on the topic 'Tuberculose peritoneal'

Author: Grafiati
Published: 4 June 2021
Last updated: 10 February 2022

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1

Silva, Milena Roberta Freire da, Karolayne Silva Souza, Milena Danda Vasconcelos Santos, Kaleen Massari Leite, Jaqueline dos Santos Silva, Diego Canuto Bispo da Silva, Kleber Ribeiro Fidelis, et al. "Tomografia computadorizada como diagnóstico para tuberculose abdominal." Research, Society and Development 9, no. 12 (December 14, 2020): e9591210713. http://dx.doi.org/10.33448/rsd-v9i12.10713.

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Introdução: A tuberculose (TB) é uma doença infectocontagiosa causada pelo Mycobacterium tuberculosis. No Brasil no ano de 2017, foram notificados 69.569 novos casos, com um coeficiente de incidência de 33,5 casos a cada 100 mil habitantes. A TB abdominal pode envolver diversas estruturas, sendo definida em quatro formas: linfadenopatia tuberculosa, tuberculose peritoneal, gastrointestinal e visceral. Nesta perspectiva, este estudo tem como objetivo mostrar os principais aspectos clínico da TB abdominal e como esta pode ser diagnosticada através da tomografia computadorizada (TC). Metodologia:Trata-se de uma revisão bibliográfica de abordagem qualitativa do tipo exploratória na qual se realizou buscas nas bases eletrônicas nacionais e internacionais na língua portuguesa e inglesa. Resultados: Na linfadenopatia tuberculosa os principais achados de imagem são aumento volumétrico dos linfonodos, calcificação e formação de massas linfonodais, já na TB peritoneal o principal achado é a ascite, na TB gastrointestinal pode se observar o espessamento parietal e espessamento mesentérico, e por fim na TB visceral é visto o aumento das dimensões do órgão. Conclusão: A TC tem vantagens sobre os demais exames de diangónstico desta patologia a medida que examina diversas estruturas abdominais concomitantemente. Esta é uma doença curável, que se diagnosticada precocemente pode ser instituido o tratamente adequado o mais breve possível.
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2

Nóbrega, Fernando, João Carvalho, Esther Lima, Cibelle Oliveira, Walkíria Sá, Daniele Beltrão, Edésia Queiroz, Tarciana Costa, and Heraldo Rocha. "TUBERCULOSE PERITONEAL EM PACIENTE IMUNOCOMPETENTE." Arquivos Brasileiros de Cirurgia Digestiva Express 28, Supl.5 (November 11, 2017): 1186. http://dx.doi.org/10.28952/s2359-2737.2017.02.1186.

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3

Pareja, Helen Brambila Jorge, José Roberto Vidotto Júnior, Milton Mendes Cattini, Maria Fernanda de Almeida Marconi, Alessandro Luiz Gonçalves, Pedro Augusto de Assis Goes, Aryssa Anielli Sakai, and Beny Goulart Dias De Castro. "Tuberculose peritoneal, um diagnóstico laparoscópico: relato de caso / Peritoneal tuberculosis, a laparoscopic diagnosis: case report." Brazilian Journal of Development 7, no. 8 (August 6, 2021): 77595–601. http://dx.doi.org/10.34117/bjdv7n8-124.

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4

Fonseca, Leonardo Gomes da, Fernando Peixoto Ferraz de Campos, and Aloísio Felipe-Silva. "Tuberculose peritoneal: experiência em um hospital geral." Autopsy and Case Reports 1, no. 2 (2011): 3–9. http://dx.doi.org/10.4322/acr.2016.002.

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5

Koga, T. Y. F., V. B. E. Dib, G. F. Lopes, I. J. F. C. Netto, A. S. Rolim, M. B. S. da Silva, L. M. da Silva, and L. Robles. "Tuberculose intestinal e peritoneal: relato de caso." Journal of Coloproctology 39 (November 2019): 69. http://dx.doi.org/10.1016/j.jcol.2019.11.127.

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6

Maneschy, Rodrigo Bona, Flávia Silva Moura, Romualdo Silva Aguiar, Silvia Brenda Araujo Rodrigues, Vanessa Kelly Guimaraes Cavalcante, Carla Daniele Nascimento Pontes, Nina Pinto Monteiro Rocha, et al. "Tuberculose peritoneal em um paciente imunocompetente: relato de caso." Revista Eletrônica Acervo Saúde Esp., no. 12 (2018): S1289—S1293. http://dx.doi.org/10.25248/reas279_2018.

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7

Alves, Paola Sardenberg, Antonio Simao, Felipe Eulalio Pessanha Baldi, Maria Luiza Colodet Caus, Pedro Furlan Silott, and Thais Rodrigues Nunes. "ABDOME AGUDO PERFURADO DEVIDO À POSSÍVEL TUBERCULOSE PERITONEAL: UM RELATO DE CASO." Revista Científica da Faculdade de Medicina de Campos 13, no. 1 (June 29, 2018): 45–48. http://dx.doi.org/10.29184/1980-7813.rcfmc.173.vol.13.n1.2018.

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RESUMO Introdução: Tuberculose é um doença infecto parasitária, transmissível, crescente em países subdesenvolvidos. O principal órgão acometido é o pulmão. Porém, sabe-se que entre as infecções extra pulmonares, a abdominal acontece em cerca de 12% dos casos, sendo o peritônio o principal foco. Objetivo: Descrever um caso de um paciente bacilífero com peritonite submetido a laparotomia exploradora. Descrição: Paciente do sexo masculino, 19 anos, presidiário, com quadro de dor abdominal em cólica em região epigástrica de forte intensidade, tosse produtiva, febre e emagrecimento há 03 meses. Foi identificado ainda hepatomegalia e ascite. Radiografia de tórax evidenciou padrão de tuberculose miliar, associada à pesquisa de BAAR no escarro com resultado positivo. Após internação hospitalar, iniciou esquema RHZE. No terceiro dia, sem melhora do quadro, foi solicitado tomografia computadorizada de abdome com diagnostico de pneumoperitôneo. Sendo submetido então à laparotomia exploradora, que constatou lesões nodulares múltiplas e esbranquiçadas, sugestivo de tuberculose peritoneal. Foi identificado também perfuração em parede anterior do estomago, realizada gastrostomia e encaminhado para Unidade de Terapia Intensiva para suporte clínico com nutrição parenteral total. No terceiro dia de pós operatório o paciente veio a óbito. Conclusão: A tuberculose peritoneal é uma situação rara com alta morbidade e mortalidade, sendo que o prognóstico depende do diagnóstico e tratamento precoces. Essa patologia deve-se sempre ser lembrada em pacientes que evoluem com hepatoesplenomegalia e ascite, principalmente se já houver foco pulmonar pré-existente.
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8

Gasperin, Mariana, Thiago Tello, Cinara Feliciano, Guilherme Rosa, Marcel Domeniconi, Rafael Luporini, and Enio Mente. "TUBERCULOSE PERITONEAL EM PÓS-OPERATÓRIO DE TRANSPLANTE HEPÁTICO: RELATO DE CASO." Arquivos Brasileiros de Cirurgia Digestiva Express 28, Supl.5 (November 11, 2017): 192. http://dx.doi.org/10.28952/s2359-2737.2017.02.0192.

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9

Fernandes, M. I., M. A. C. Fernandes, E. C. Q. Figueiredo, L. B. Oliveira, G. O. Chaves, and N. T. O. Alves. "TUBERCULOSE PERITONEAL ASSOCIADA AO USO DE ANTI‐TNF EM PACIENTE COM ESPONDILOARTRITE: RELATO DE CASO." Revista Brasileira de Reumatologia 57 (2017): S120. http://dx.doi.org/10.1016/j.rbr.2017.07.089.

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10

Souza, Camylla, Lívia Bandeira, Sthefania Fruet, Yasmine Mustafá, Sâmia Mustafá, Maria Cangussu, Leandro Cacau, et al. "PANORAMA DA INCIDÊNCIA DE TUBERCULOSE INTESTINAL, PERITONEAL E MESENTÉRICA EM 5 ANOS NAS REGIÕES BRASILEIRAS." Arquivos Brasileiros de Cirurgia Digestiva Express 28, Supl.5 (November 11, 2017): 1084. http://dx.doi.org/10.28952/s2359-2737.2017.02.1084.

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11

Campos, Samara França de, Jacqueline Jessica de Marchi, Polyana Silva Lemes, and Mariana Fonseca Vilela. "TUBERCULOSE PERITONEAL COMO MANIFESTAÇÃO EXTRAPULMONAR EM JOVEM COM MARCADOR CA‐125 ELEVADO: RELATO DE CASO." Brazilian Journal of Infectious Diseases 25 (January 2021): 101458. http://dx.doi.org/10.1016/j.bjid.2020.101458.

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12

De Deus Filho, Antonio, and Illana Mary Silveira Carvalho. "PERFIL EPIDEMIOLÓGICO DOS PACIENTES COM TUBERCULOSE EM HOSPITAL UNIVERSITÁRIO DE TERESINA-PI." Jornal de Ciências da Saúde do Hospital Universitário da Universidade Federal do Piauí 1, no. 1 (January 30, 2018): 51. http://dx.doi.org/10.26694/2595-0290.1151-60.

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OBJETIVOS: Determinar o Perfil Epidemiológico dos Pacientes com TB em Hospital Universitário de Teresina-PI (HU-UFPI), bem como as comorbidades associadas, tipos mais prevalentes de TB extrapulmonar e os métodos diagnósticos utilizados. MÉTODOS: Estudo transversal, retrospectivo, observacional da população notificada com TB do HU-UFPI no período de 01 de Abril 2013 a 31 de Outubro de 2016. As variáveis analisadas foram: sexo, idade, forma de tuberculose, sítio acometido na extrapulmonar, método diagnóstico utilizado e as comorbidades associadas. RESULTADOS: Dos 68 pacientes avaliados, 68% foram do sexo masculino, 57% tinham TB pulmonar e na extrapulmonar as mais prevalentes foram pleural e peritoneal (48%). O principal método diagnóstico foi a Baciloscopia (32%) e as comorbidades mais relacionadas foram: Alcoolismo (30%) e Tabagismo (28%). CONCLUSÃO: A TB acomete principalmente indivíduos do sexo masculino, em idade produtiva. A forma mais prevalente é a pulmonar e apresenta relação importante com alcoolismo e tabagismo.
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13

Atzori, Sebastiana, Gianpaolo Vidili, and Giuseppe Delitala. "Usefulness of ultrasound in the diagnosis of peritoneal tuberculosis." Journal of Infection in Developing Countries 6, no. 12 (December 15, 2012): 886–90. http://dx.doi.org/10.3855/jidc.2654.

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The peritoneum is one of the most common extrapulmonary sites of tuberculous infection. We report a case of peritoneal tuberculosis (TB) in a 25-year-old man. In this case, ultrasound of the abdomen played an important role in the diagnostic process. The diagnosis of this disease, however, remains a challenge because of its insidious nature, the variability of its presentation, and the limitations of available diagnostic tests. A high index of suspicion should be considered, particularly in high-risk patients with unexplained ascites. In our case ultrasound guided the diagnosis by rapidly identifying abnormal signs, which in high-prevalence settings are extremely suggestive of peritoneal tuberculosis.
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14

Ferreira Neto, José Soares, Sonia Regina Pinheiro, Zenaide Maria Morais, Idércio Luiz Sinhorini, Fumio Honna Ito, and Silvio Arruda Vasconcellos. "Avaliação quantitativa da concentração de micobactérias em órgãos e humores de hamster experimentalmente infectados com Mycobacterium bovis, estirpe AN 5." Brazilian Journal of Veterinary Research and Animal Science 31, no. 2 (June 2, 1994): 131. http://dx.doi.org/10.11606/issn.1678-4456.bjvras.1994.52058.

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Descreve-se a tuberculose desencadeada pela inoculação intraperitoneal de 1.0 mg de Mycobacterium bovis (cepa AN 5) em hamsters através de exames bacteriológicos e histopatológicos, realizados 1, 15, 29 e 45 dias após a infecção. A bactéria se multiplicou no baço, rins, fígado e pulmões dos animais infectados, induzindo a formação de lesões granulomatosas. Um dia após a infecção o baço albergou um maior número de bactérias e 45 dias após a infecção houve diferença nas concentrações bacterianas apenas entre baço e rim, com um maior número de bactérias para o baço. Foram observadas duas fases de bacteremia e a micobactéria foi cultivada a partir do líquido peritoneal em todas as etapas do experimento. Os animais perderam peso em decorrência da doença e morreram em média 50.6 dias após a infecção.
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15

Silva Júnior, Mário Luciano de Mélo, Hildenice Ferreira Bernardes Leonídio, Mariana Montenegro de Melo Lira, Luciana Cardoso Martins Arraes, Carlos Eduardo Guimarães Padilha, and Paulo Sérgio Ramos de Araújo. "Chylous ascites secondary to Hodgkin’s lymphoma in a HIV/aids patient: case report and literature review." Medicina (Ribeirao Preto. Online) 50, no. 5 (October 30, 2017): 317. http://dx.doi.org/10.11606/issn.2176-7262.v50i5p317-321.

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Tipo de estudo: relato de caso. Relato de caso: Homem, 42 anos, diagnosticado com aids há dois anos, desenvolveu aumento de volume abdominal há seis meses da admissão. Tomografia computadorizada mostrou líquido livre na cavidade peritoneal, além de linfonodos mesentéricos e esplenomegalia. O líquido ascítico tinha aspecto leitoso e alto nível de triglicerídeos. Após amplo diagnóstico diferencial, diagnosticamos linfoma de Hodgkin tipo celularidade mista por biópsia linfonodal via videolaparoscópica, Ann Arbor IIIS. Quimioterapia e continuação da terapia antirretroviral de alta potência resultaram em ganho de peso e redução do volume abdominal. Ascite quilosa é uma entidade rara, que possui vários diagnósticos diferenciais. Discussão: Em nossa revisão, a maioria (15/18, 83%) dos casos de ascite quilosa em paciente com HIV/aids deveu-se a causa infecciosa (especialmente pelo Mycobacterium avium complex e tuberculose), em pacientes gravemente imunocomprometidos (linfócitos T-CD4 médio=84células/mm3). Até onde sabemos, este é o primeiro caso de ascite quilosa secundária a linfoma de Hodgkin em paciente com aids.
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Molina Matute, Marcos, Esteban Homero Villa Cárdenas, Mónica Cajas Palomino, Daniela Estefanía Astudillo Jarrín, and Danilo Orellana Cobos. "Caso Clínico: Tuberculosis Peritoneal." Revista Médica del Hospital José Carrasco Arteaga 7, no. 2 (July 20, 2015): 162–66. http://dx.doi.org/10.14410/2015.7.2.cc.31.

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17

Molina Matute, Marcos, Esteban Homero Villa Cárdenas, Mónica Cajas Palomino, Daniela Estefanía Astudillo Jarrín, and Danilo Orellana Cobos. "Caso Clínico: Tuberculosis Peritoneal." Revista Médica del Hospital José Carrasco Arteaga 7, no. 2 (July 20, 2015): 162–66. http://dx.doi.org/10.14410/2016.7.2.cc.31.

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18

Meregildo-Rodriguez, Edinson Dante, Rosita Claudia Tafur-Ramirez, Walter Giovanny Espino-Saavedra, and Sonia Fiorella Angulo-Prentice. "Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis." F1000Research 10 (July 12, 2021): 355. http://dx.doi.org/10.12688/f1000research.53036.2.

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Tuberculosis is a major public health problem worldwide. Tuberculosis can be confused with other diseases and its diagnosis is frequently delayed, especially in areas of low prevalence. Abdominal tuberculosis includes involvement of the gastrointestinal tract, peritoneum, lymph nodes, and/or solid organs; and accounts for 5% of all cases of tuberculosis. We report two cases of young patients who presented preoperatively as acute abdomen due to acute appendicitis. During surgery, these cases were misdiagnosed as “carcinomatosis”, and in the postoperative period these cases were complicated with septic shock. In both cases, histopathology showed caseating granulomas which suggested tuberculous peritonitis and enteritis. Subsequently, RT-PCR in peritoneal fluid confirmed Mycobacterium tuberculosis. In one case the clinical response to treatment was excellent, and the other case was fatal. The aim of this report is to bring attention to the spectrum of tuberculosis, and to serve as a reminder of tuberculosis as the great imitator that can masquerade as cancer. Most tuberculous patients erroneously diagnosed as cancer have extensive “neoplastic” lesions that would suggest an advanced-stage malignancy. Assuming a case as an advanced cancer would reduce the chance of performing more exhaustive studies to get a definitive diagnosis and clinicians would be tempted to offer only palliative treatments.
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19

Koff, Alan, and Marwan Mikheal Azar. "Diagnosing peritoneal tuberculosis." BMJ Case Reports 13, no. 2 (February 2020): e233131. http://dx.doi.org/10.1136/bcr-2019-233131.

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Peritoneal tuberculosis (TB) is one of the most challenging forms of extrapulmonary tuberculosis to diagnose. This challenge can be compounded in low incidence regions, and in patients with cirrhosis in whom the presence of ascites alone may not prompt further investigation. A delay in the diagnosis and treatment of peritoneal tuberculosis may lead to worse clinical outcomes. This case describes a 64-year-old Italian male with decompensated cirrhosis being evaluated for liver transplantation, who developed abdominal pain and a persistent inflammatory ascites with peritoneal thickening despite antibiotic therapy. Peritoneal tuberculosis was suspected, although non-invasive and invasive direct mycobacterial testing remained negative. A constellation of positive QuantiFERON-TB Gold In-Tube test, elevated ascitic adenosine deaminase and dramatic symptomatic and radiographic response to empiric anti-tuberculous therapy confirmed the diagnosis of peritoneal tuberculosis. This paper will review the approach to the diagnosis of peritoneal tuberculosis.
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Ndoye, Ndeye, Papa Mbaye, Jacques Tendeng, Lissoune Cissé, Mamadou Diao, Mactar Dieng, Doudou Gueye, Dibor Niang, Oumar Ndour, and Gabriel Ngom. "Peritoneal Tuberculosis in Infants: Diagnostic Challenges." European Journal of Pediatric Surgery Reports 06, no. 01 (January 2018): e87-e89. http://dx.doi.org/10.1055/s-0038-1675406.

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AbstractAbdominal tuberculosis is rare in immunocompetent infants. We report on two infants with peritoneal tuberculosis (6 and 8 months) who underwent laparotomy for suspected intussusception. In the first patient, characteristic lesions of peritoneal tuberculosis were observed intraoperatively with presence of multiple granulations. Tuberculin intradermal reaction (IDRt) was positive and tuberculous contagium could be cultured. In the second patient, the IDRt and GeneXpert tests were negative. In both patients, the histopathological examination of the biopsy specimens confirmed the diagnosis of peritoneal tuberculosis. The clinical courses under tuberculostatic therapy were favorable in both cases.
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21

Abraham, Georgi, Milly Mathews, Lena Sekar, Aparajitha Srikanth, Uma Sekar, and P. Soundarajan. "Tuberculous Peritonitis in a Cohort of Continuous Ambulatory Peritoneal Dialysis Patients." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 21, no. 3_suppl (December 2001): 202–4. http://dx.doi.org/10.1177/089686080102103s34.

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Among 155 patients who were initiated on continuous ambulatory peritoneal dialysis (CAPD), 4 patients (2 men, 2 women) developed tuberculous peritonitis. They had been on PD for between 2 months and 84 months when they developed the peritonitis. The Mantoux test was negative in all of them. The diagnosis was made by a variety of means in the various cases: demonstration of Mycobacterium tuberculosis in the peritoneal cavity; presence of caseating granuloma in a peritoneal biopsy; Mycobacterium tuberculosis in a cold abscess adjacent to the peritoneal cavity; and demonstration of IS6110 and MPB64 genes of Mycobacterium tuberculosis by polymerase chain reaction (PCR) technique. Two of the patients developed ultrafiltration failure. Among 3 patients who were switched to hemodialysis, 2 died and 1 continues on maintenance dialysis. The last patient, whose catheter was removed, was reimplanted with a new catheter and continues on PD without ultrafiltration failure. Any patient with peritonitis unresponsive to conventional therapy should be investigated for tuberculous peritonitis. Institution of chemotherapy without delay will preserve peritoneal membrane integrity.
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22

Sharma, Anup, P. Thapa, and S. N. Gupta. "Role of laparoscopy in the Etiologic Diagnosis of Ascites of Unknown Origin." Journal of Nepalgunj Medical College 13, no. 1 (January 17, 2017): 13–16. http://dx.doi.org/10.3126/jngmc.v13i1.16400.

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Introduction: Ascites is a consequence of many different etiologies, such as liver cirrhosis, neoplasm, tuberculous peritonitis, pyogenic peritonitis, congestive heart failure, renal and pancreatic diseases but, in some situations, ascites is of unknown cause in spite of comprehensive study. The aim of this study was to identify the role of laparoscopy in the etiological diagnosis of ascites of unknown origin.Methods: This was a prospective study of the patients who underwent diagnostic laparoscopy to determine the causes of ascites of unknown origin in the Department of Surgery, Nepalgunj Medical College Teaching Hospital from April 2012 to May 2014. All the patients underwent laparoscopy for the evaluation of ascites after appropriate clinical and laboratory examinations, which failed to reveal the cause.Results: Peritoneal tuberculosis and carcinomatosis peritonei were the two most common causes found in 37.14% and 57.14% of cases respectively. The average age of the patients was 52 years. Distension of abdomen, abdominal pain and weight loss were the most frequently observed symptoms in 33 patients (100%), 26 patients (74.28%) and 18 patients (51.42%) respectively. The CT scan findings, were a omental thickening in 28 cases (80%), peritoneal nodules in 7(20%) patients and the intraabdominal lymph nodes in 13 patients (39.39%). Ovarian mass was found in 4 patients (11.42%). The histological diagnosis was a peritoneal carcinomatosis in 13 (37.14%) patients and peritoneal tuberculosis in 20 (57.1%) patients and in two patients nonspecific inflammation. The sensitivity and specificity of laparoscopic diagnosis in the diagnosis of peritoneal tuberculosis were 78.67% and 98.6% respectively and in the diagnosis of peritoneal carcinomatosis were 94.78% and 72.2% respectively. The positive predictive value was 97.3% and the negative predictive value was 73.7% for peritoneal tuberculosis and for peritoneal carcinomatosis the positive predictive value was 83.7% and negative predictive value was 94.87%.Conclusion: The etiologic diagnosis of ascites of unknown origin is difficult despite the availability of several tests. Laparoscopy with peritoneal biopsy has still got a role in diagnosing these types of ascites where the other laboratory and imaging studies fail to reveal the cause.Journal of Nepalgunj Medical College Vol.13(1) 2015: 13-16
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23

Nakandakari, Mayron D., Dyanne N. De la Rosa, José Jaramillo, and Walter Bryson. "Carcinomatosis peritoneal secundaria a adenocarcinoma de células en anillo de sello del colon: A propósito de un caso." Revista Medica Herediana 26, no. 3 (October 19, 2015): 190. http://dx.doi.org/10.20453/rmh.v26i3.2588.

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La carcinomatosis peritoneal (CP) secundaria a adenocarcinoma de colon es una metástasis al peritoneo poco frecuente e indicativa de mal pronóstico. Se reporta el caso de un varón de 26 años con diagnóstico de tuberculosis (TBC) enteroperitoneal y con tratamiento esquema sensible para TBC extrapulmonar. Tenía un tiempo de enfermedad de un mes caracterizado por dolor abdominal, náuseas, vómitos y constipación. Fue catalogado como “abdomen congelado” y se le realizó laparotomía exploratoria encontrándose nódulos blanquecinos en peritoneo como “granos de mijo”. Fue hospitalizado con diagnóstico sindrómico de obstrucción intestinal y con diagnóstico probables de TBC miliar peritoneal vs linfoma no Hodgkin enteroperitoneal. El estudio anátomo-patológico de la biopsia peritoneal y colónica fue carcinomatosis peritoneal secundaria a adenocarcinoma de células en anillo de sello de colon.
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Carvallo-Tapia, Cristina, Duly Torres-Cepeda, and Eduardo Reyna-Villasmil. "Tuberculosis peritoneal simulando carcinoma de ovario." Revista Peruana de Ginecología y Obstetricia 63, no. 1 (April 22, 2017): 103–7. http://dx.doi.org/10.31403/rpgo.v63i1974.

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La tuberculosis peritoneal es una ubicación extrapulmonar común en mujeres, con características similares a neoplasias malignas ováricas avanzadas. Es difícil de diagnosticar debido a que produce ascitis masiva y crecimiento peritoneal marcado, similar a la carcinomatosis. Se necesitan estudios patológicos y cultivos bacterianos para confirmarlo, ya que no existen hallazgos clínicos, de laboratorio o radiológicos patognomónicos para la patología. El tratamiento temprano generalmente tiene un buen pronóstico. Se presenta un caso de tuberculosis peritoneal con la triada clásica (ascitis similar a carcinoma ovárico en etapas avanzadas, tumores abdominopélvicos y aumento de las concentraciones séricas de CA-125). La laparotomía mostró nódulos abdominales-peritoneales con inflamación granulomatosa. La paciente inició tratamiento y, durante el seguimiento, los síntomas al igual que las concentraciones de CA-125 normalizaron.
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25

García, Germán, Andrés José García, Elvia Inés Goez, and Clara Inés Saldarriaga. "Tuberculosis peritoneal en una paciente con ascitis y masa anexial. Reporte de caso." Revista Colombiana de Obstetricia y Ginecología 57, no. 1 (March 30, 2006): 62–65. http://dx.doi.org/10.18597/rcog.541.

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Objetivo: presentar el cuadro clínico y de laboratorio de una paciente con tuberculosis peritoneal. La tuberculosis puede afectar diferentes órganos con presentaciones clínicas que simulan otras patologías.1Presentamos el caso de una paciente con ascitis y masa anexial diagnosticada por tomografía y con CA 125 elevado. Se realizó laparotomía exploradora con la impresión diagnóstica de tumor de ovario, encontrando adherencias y siembras peritoneales. La patología informó inflamación granulomatosa crónica compatible con tuberculosis.
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26

Akce, Mehmet, Sarah Bonner, Eugene Liu, and Rebecca Daniel. "Peritoneal Tuberculosis Mimicking Peritoneal Carcinomatosis." Case Reports in Medicine 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/436568.

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A 67-year-old male presented with fatigue, abdominal pain , and 30-pound weight loss over 3 months. Computerized tomography (CT) abdomen displayed ascites with thickening and enhancement of the peritoneum and mottled nodular appearing as soft tissue consistent with omental caking worrisome for peritoneal carcinomatosis. A paracentesis revealed white blood cell count of 2,500 with 98% lymphocytes and serum ascites albumin gradient of 0.9 g/L. No acid-fast bacilli were seen by microscopic exam and culture was negative. Purified protein derivative skin test (PPD) was negative and CXR did not reveal any infiltrates. Esophagogastroduodenoscopy (EGD) and colonoscopy were unrevealing. The patient underwent exploratory laparotomy with round ligament and peritoneal biopsies that revealed numerous necrotizing granulomas. Acid-fast bacteria Ziehl-Neelsen stain (AFB) of the biopsy specimen revealed single acid-fast bacilli. Treatment for M. tuberculosis was initiated and final culture revealed that mycobacterium tuberculosis was sensitive to Isoniazid, Rifampin, Ethambutol, and Pyrazinamide. After 6 months of treatment, the ascites and peritoneal carcinomatosis resolved.
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Shahiduzzaman, GKM, Tahmin Akhter, CM Shamim Kabir, Mohsena Akter, Roksana Akhter Zaman, and Shahjahan Siddique. "A 20-year-old Lady with Peritoneal Tuberculosis Presented as Acute Abdomen and A Review of Peritoneal Tuberculosis." Journal of Shaheed Suhrawardy Medical College 8, no. 2 (July 5, 2018): 63–68. http://dx.doi.org/10.3329/jssmc.v8i2.37246.

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Tuberculosis can entail any component of the gastrointestinaltract and is the sixth most common site of extra pulmonaryassociation. Both the incidence and severity ofabdominal tuberculosis are predictable to amplify withgrowingnumbers of HIV infection. Peritoneal tuberculosis, a type of abdominal tuberculosis, occurs in three forms: wet typewith ascites, dry type with adhesions, and fibrotic type withomental thickening and loculated ascites. Clinically, peritoneal tuberculosis ischaracterized by fever, abdominal pain, anorexia, weightloss, and ascites. Nevertheless, not any of these symptoms is accuratefor the disease, so it is frequently misdiagnosed, especiallyas carcinomatous peritonitis in the elderly. Diagnosisnear the beginning of peritoneal tuberculosis is of keyimpact in the control of thedisease. Chest X-rays demonstratesupport of associated pulmonarylesions in less than 25% of cases. Laparoscopywith direct biopsy is an exceptionalinvestigativetechniqueand should be considered for each patient with unsolvedascites. A classicconclusion requires detection ofbacilli in ascitic fluid or peritoneum tissue. However, acidfaststaining is frequently negative and cultures are positivein 30-40% of cases, making bacteriological evidence ofthe disease extremely difficult. In recent times, advances in moleculartechniques have provided aninnovative approach to the fast diagnosisof tuberculosis by nucleic acid probes and polymerasechain reaction. But if molecular techniques fail or unavailable, then presence of caseating granuloma in biopsy material is accepted as hallmark of extra-pulmonary tuberculosis and as significant as positive Acid Fast Bacillus (AFB) in pulmonary tuberculosis. Management is with conventionalanti-tubercular treatment for at least six months.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 63-68
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PHULPOTO, JAVED AHMED. "DIAGNOSIS OF TUBERCULOUS ASCITIES;." Professional Medical Journal 20, no. 03 (March 25, 2013): 381–84. http://dx.doi.org/10.29309/tpmj/2013.20.03.710.

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Diagnosing Tuberculous ascites is a challenge. Polymerase chain reaction (PCR) and adenosine deaminase activity(ADA) have come up as promising modalities to aid diagnosis of tuberculosis in body fluids. Objective: To find and compare theusefulness of ADA and PCR in ascitic fluid in diagnosis of peritoneal tuberculosis. Study Design: A cross-sectional study. Place of Study:Medical Unit-I, Ghulam Mohammad Mahar Medical College Hospital, Sukkur. Duration of Study: From January 2010 to July 2011.Methods: Fifty five patients of exudative ascites, were diagnosed as peritoneal tuberculosis by following criteria- clinical suspicion, PPD(Skin Tuberculin test) positive, suggestive bacteriological and/or imaging findings and ascitic fluid showing lymphocytosis withdecreased glucose and SAAG (Serum- Ascites albumin gradient) of <1.1 gm/ dL. PCR and ADA were performed in the ascitic fluid andpositivity rates determined and compared. Results: Out of 55 study subjects, 50 patients (90.9%) were PCR positive and 48 (87.3%)were ADA positive; both were equiefficacious (p=0.54). High agreement between PCR and ADA tests was noted. Conclusions: ADA andPCR are comparable as diagnostic modality for tuberculous peritonitis, however ADA scores over PCR because of easy availability, lowcost, less infrastructure requirement and less-time consuming.
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Houghton, Thomas, Obada Tayyem, Mohammad Abdallah, Anita Mercado, and Eric Gou. "S2533 Peritoneal M. tuberculosis Infection Presenting as Pseudomyxoma Peritonei." American Journal of Gastroenterology 115, no. 1 (October 2020): S1334—S1335. http://dx.doi.org/10.14309/01.ajg.0000712180.55013.54.

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Martínez Montalvo, Carlos Mauricio, Mario Caviedes Cleves, Yeison Gómez, Laura Melisa Herrera Ortega, Margaret Elizabeth Guerrero Becerra, Nataly Vanesa Pérez Martínez, and Diana Carolina Esguerra Sánchez. "El Síndrome de Sweet por tuberculosis peritoneal: reporte de caso." Revista colombiana de Gastroenterología 36, no. 3 (September 15, 2021): 384–90. http://dx.doi.org/10.22516/25007440.528.

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La tuberculosis (TBC) peritoneal es una entidad poco frecuente y representa un 25 %-50 % de los casos de tuberculosis abdominal, y 0,1 %-0,7 % de todos los casos de tuberculosis. La mortalidad alcanza un 35 % cuando hay un retraso en el tratamiento, y un 73 % en pacientes con cirrosis. Además, tiene un gran espectro clínico, por lo que su diagnóstico diferencial abarca a nivel clínico patologías como cirrosis, malignidad, síndrome nefrótico, desnutrición; a nivel imagenológico enfermedad metastásica peritoneal, carcinomatosis de origen gástrico, pancreático, vesical, ovárico, colónico y enfermedades infecciosas como actinomicosis, coccidioidomicosis, histoplasmosis o micobacterias no tuberculosas. El diagnóstico se apoya inicialmente con química sanguínea, función hepática y renal, ultrasonido, tomografía computarizada (TC), paracentesis con citoquímico de líquido peritoneal, medición de adenosina-desaminasa (ADA) y reacción en cadena de polimerasa (PCR); no obstante, la laparoscopia con biopsia peritoneal y confirmación patológica o microbiológica siguen siendo el estándar de oro. Se han descrito casos de falsos negativos de la prueba ADA en situaciones de inmunosupresión o uso de antituberculosos. Se ha planteado el seguimiento de la actividad de la enfermedad midiendo los niveles de antígeno del cáncer 125 (CA-125). A continuación, presentamos un caso inusual de un paciente con TBC peritoneal con un síndrome de Sweet secundario, en quien inicialmente el reporte para ADA fue negativo, posiblemente debido a la administración de meropenem y en quien, además, se hizo el seguimiento de la actividad de la enfermedad con CA-125. Son muy excepcionales los reportes de falsos negativos de ADA y Sweet secundario a tuberculosis, por lo cual aportamos a la literatura con el reporte de nuestro caso.
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Wu, Chen-Chu, Kuo-Sun Chow, Tao-Nan Lü, and Fei-Ting Huang. "Sonographic features of tuberculous omental cakes in peritoneal tuberculosis." Journal of Clinical Ultrasound 16, no. 3 (April 1988): 195–98. http://dx.doi.org/10.1002/jcu.1870160310.

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32

Krishnamurthy, Gautham, Jayapal Rajendran, Vishal Sharma, Hemanth Kumar, and Harjeet Singh. "Incidental peritoneal tuberculosis: surgeon’s dilemma in endemic regions." Therapeutic Advances in Infectious Disease 5, no. 5 (June 22, 2018): 97–102. http://dx.doi.org/10.1177/2049936118783687.

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Background: Peritoneal tuberculosis has varying clinical manifestations. The study was conducted to highlight the entity of incidental peritoneal tuberculosis. Diagnostic and therapeutic dilemma is likely to occur on detection of unexpected peritoneal nodules. Materials and methodology: Incidental peritoneal tuberculosis was defined as peritoneal tuberculosis (peritoneal tubercles or ascites) detected intraoperatively in patients undergoing surgical exploration for other indications with no preoperative suspicion of abdominal tuberculosis or active tubercular lesions anywhere in the body. Retrospective analysis of patients operated in our department from June 2016 to November 2017 was performed. Results: Of the 409 patients operated, 5 patients (1.2%) had incidental peritoneal tuberculosis. The primary indication of surgery was laparoscopic cholecystectomy in three, restoration of bowel continuity in one and laparoscopic appendectomy in one. Two patients had remote history of antitubercular therapy for pulmonary and nodal tuberculosis, respectively. The three patients planned for laparoscopic cholecystectomy had their procedures deferred on suspicion of peritoneal carcinomatosis. Subsequently, all the three underwent cholecystectomy after completion of antitubercular treatment. None of the resected specimen (gallbladder/appendix/colon) had evidence of tuberculosis (acid fast bacilli positive or caseating granuloma). Antitubercular treatment for 6 months was completed in all the patients with active peritoneal disease. Conclusion: Incidental peritoneal tuberculosis represents an uncommon form of peritoneal tuberculosis. Absence of prior tuberculosis does not preclude the diagnosis of peritoneal tuberculosis. In an endemic region of tuberculosis, surgeons must be aware of the entity on encountering such finding. Frozen section can help in guiding appropriate management.
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33

Kumabe, Ayako, Shuji Hatakeyama, Naoki Kanda, Yu Yamamoto, and Masami Matsumura. "Utility of Ascitic Fluid Adenosine Deaminase Levels in the Diagnosis of Tuberculous Peritonitis in General Medical Practice." Canadian Journal of Infectious Diseases and Medical Microbiology 2020 (April 22, 2020): 1–5. http://dx.doi.org/10.1155/2020/5792937.

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Background. Tuberculous peritonitis is difficult to diagnose due to its varying clinical features, in addition to the low yield on bacterial culture or polymerase chain reaction using ascitic fluid samples. This study aimed to investigate the sensitivity and specificity of elevated adenosine deaminase (ADA) levels as a diagnostic marker for tuberculous peritonitis. Methods. A retrospective cohort of 181 adult patients who underwent ascitic fluid ADA level examination at Jichi Medical University Hospital between January 2006 and December 2015 were included. We collected data regarding ascitic fluid analyses including ADA levels, bacteriology and cytology, final diagnosis (cause of ascites), basis of the diagnosis, duration to diagnosis, and disease outcome. Results. Among 181 patients, elevated ascitic ADA levels (≥40 IU/L) were observed in 15 patients (median, 87.2 IU/L; range, 44.0–176.1 IU/L); 8 patients had tuberculous peritonitis, 4 had lymphoma-related ascites, and 2,had peritoneal carcinomatosis with bacterial coinfection, and 1 had chlamydial pelvic inflammatory disease. Among 166 patients without ascitic ADA level elevation (median, 7.3 IU/L; range, <2.0–39.1 IU/L), none had tuberculosis, 4 had lymphoma-related ascites, 28 had cancer/mesothelioma-related ascites, and 134 had ascites due to other causes. In our cohort, elevated ascitic fluid ADA levels (≥40 IU/L) showed 100% sensitivity, 96.0% specificity, 53.3% positive predictive value (PPV), and 100% negative predictive value for the diagnosis of peritoneal tuberculosis. Conclusions. Ascitic fluid ADA levels ≥40 IU/L showed excellent sensitivity, despite a low PPV, for the diagnosis of tuberculous peritonitis. Lymphoma-related ascites is an important mimic of tuberculous peritonitis that can result in high ascitic fluid ADA levels with similar clinical manifestations.
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34

Tortorelli, Antonio Pio, Fausto Rosa, Valerio Papa, Sergio Alfieri, Fabio Pacelli, and Giovanni Battista Doglietto. "Peritoneal tuberculosis." Surgery 151, no. 3 (March 2012): 488–89. http://dx.doi.org/10.1016/j.surg.2010.11.022.

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35

Giesbrecht, Ellen. "Peritoneal Tuberculosis." Journal of Obstetrics and Gynaecology Canada 28, no. 3 (March 2006): 187. http://dx.doi.org/10.1016/s1701-2163(16)32098-9.

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36

Lingenfelser, T. H., and I. N. Marks. "Peritoneal tuberculosis." Gut 32, no. 4 (April 1, 1991): 457–58. http://dx.doi.org/10.1136/gut.32.4.457-b.

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37

Guirat, A., M. Koubaa, R. Mzali, B. Abid, S. Ellouz, N. Affes, M. Ben Jemaa, F. Frikha, M. Ben Amar, and M. I. Beyrouti. "Peritoneal tuberculosis." Clinics and Research in Hepatology and Gastroenterology 35, no. 1 (January 2011): 60–69. http://dx.doi.org/10.1016/j.gcb.2010.07.023.

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38

Lee, Jooyun, and Mina Pastagia. "Peritoneal tuberculosis." International Journal of Infectious Diseases 13, no. 1 (January 2009): 117. http://dx.doi.org/10.1016/j.ijid.2008.06.016.

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39

Meregildo-Rodriguez, Edinson Dante, Rosita Claudia Tafur-Ramirez, Walter Giovanny Espino-Saavedra, and Sonia Fiorella Angulo-Prentice. "Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis." F1000Research 10 (May 7, 2021): 355. http://dx.doi.org/10.12688/f1000research.53036.1.

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Tuberculosis is a major public health problem worldwide. Tuberculosis can be confused with other diseases and its diagnosis is frequently delayed, especially in areas of low prevalence. We report two cases of young patients who presented preoperatively as acute abdomen due to acute appendicitis. During the intra-operatory these cases were misdiagnosed as “carcinomatosis”, and in the postoperative period these cases were complicated with septic shock. In both cases, histopathology showed caseating granulomas which suggested tuberculous peritonitis and enteritis. Subsequently, RT-PCR in peritoneal fluid confirmed Mycobacterium tuberculosis. In one case the clinical response to treatment was excellent, and the other case was fatal. The aim of this report is to bring attention to the spectrum of tuberculosis, and to serve as a reminder of tuberculosis as the great imitator that can masquerade as cancer. Most tuberculous patients erroneously diagnosed as cancer have extensive “neoplastic” lesions that would suggest an advanced-stage malignancy. Assuming a case as an advanced cancer would reduce the chance of performing more exhaustive studies to get a definitive diagnosis and clinicians would be tempted to offer only palliative treatments.
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40

Dua, Manvi, Kiran Pandey, Sangeeta Arya, and Anil Verma. "Evaluation of endometrial polymerase chain reaction in diagnosis of female genital tuberculosis." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 11 (October 23, 2019): 4424. http://dx.doi.org/10.18203/2320-1770.ijrcog20194868.

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Background: Genital tuberculosis also known as tuberculous pelvic inflammatory disease can affect any age group, most common being reproductive women of 20-40 years. Clinical diagnosis of genital tuberculosis is a big challenge as the disease is either asymptomatic or has varied presentations. Conventional methods for diagnosis including AFB smear, endometrial histopathology and culture have limitations of low detection rate because of paucibacillary nature of disease. Laparoscopy generally detects macroscopic changes such as peritubal adhesions, tubercles and tubo-ovarian mass but it fails to diagnose disease at early stage. The objective of this study was to evaluate efficacy of TB DNA PCR in diagnosis of genital tuberculosis.Methods: A total of 127 patients (between 2013-2016) who presented in gynecologic OPD with symptoms suggestive of tuberculosis were included in the study. All patients were subjected to endometrial histopathology and TB DNA PCR of endometrial tissue and peritoneal fluid. Since there is no gold standard test available for diagnosis of genital tuberculosis, a diagnostic criteria was adopted in the study based on laparoscopic findings, clinical history and other investigations. Patients were divided in two groups. Group A included patients positive of tuberculosis based on diagnostic criteria. Group B included patients negative for tuberculosis based on diagnostic criteria.Results: In our study sensitivity of endometrial PCR, peritoneal PCR and endometrial histopathology were 73.8%,17.8% and 10.7% respectively. Endometrial histopathology and peritoneal fluid PCR was found to be highly specific (100%) while endometrial PCR was found to be 93% specific. Endometrial PCR although has highest sensitivity and specificity amongst the groups evaluated but high false negative rate was its major limitation.Conclusions: No single test fulfills all criteria to emerge as sole diagnostic test, hence a high degree of suspicion with a detailed history and investigating with a variety of tests is all that is required to diagnose geniatal tuberculosis.
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41

Parajuli, Pawan, Ramesh S. Bhandari, Rahul Pathak, Shashi Sharma, Prem K. Khadga, Anurag Jha, Rabin Hamal, and Brindeswari Kafle. "Diagnostic Accuracy of Peritoneoscopy to Determine the Cause of Low Serum Ascites Albumin Gradient." Journal of Institute of Medicine Nepal 41, no. 2 (December 4, 2019): 35–39. http://dx.doi.org/10.3126/jiom.v41i2.26547.

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Introduction: As cites, a common entity in practice of gastroenterology is path physiologically divided into high SAAG and low SAAG category, to rapidly classify, formulate a workup plan and expedite the diagnosis. The cause of low SAAG as cites is often due to local peritoneal cause e.g. peritoneal tuberculosis, peritoneal carcinomatosis etc, mandating the need of peritoneoscopy for definitive diagnosis. This study aims to present the peritoneoscopy and peritoneal biopsy result of patients with low SAAG as cites of uncertain etiology. Methods: Peritoneoscopy was prospectively performed in 12 patients with low SAAG as cites of unclear etiology. Patients with low SAAG as cites and willing to give consent for peritoneoscopy were enrolled in the study. Patients underwent laparoscopic peritoneoscopy under general anesthesia and appropriate biopsies were taken during the procedure for histopathological analysis. Results: Of the twelve patients with low SAAG enrolled in the study, 3 (25%) were male and 75% (9) were female. The success rate of the procedure was 100% and there was no procedure related complications. Specific findings were seen in all patients undergoing peritoneoscopy. Of the twelve patients, 9 (75%) patients has metastatic deposits in the peritoneum, 3 (25%) had benign etiology, 2/3rd (2) of whom had granulomatous deposits suggestive of tuberculosis and 1/3rd (1) had extensive dense adhesions and peritoneal fibrosis. Primary focus was revealed (ovary) in only 1 patient undergoing peritoneoscopy. Conclusion: Peritoneoscopy with simultaneous biopsy is safe, efficient and accurate diagnostic method due to its high diagnostic capacity and low complication rate in selected patients who have low SAAG as cites of uncertain etiology.
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42

Dursun, P., S. Ersoz, M. Gultekin, G. Aksan, K. YÜCE, and A. Ayhan. "Disseminated peritoneal tuberculosis mimicking advanced-stage endodermal sinus tumor: a case report." International Journal of Gynecologic Cancer 16, Suppl 1 (January 2006): 303–7. http://dx.doi.org/10.1136/ijgc-00009577-200602001-00050.

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It is well known that peritoneal tuberculosis may mimic advanced-stage epithelial ovarian carcinoma because of similar clinical, radiologic, and laboratory findings. However, disseminated peritoneal tuberculosis mimicking advanced-stage endodermal sinus tumor (ESS) has not been reported previously. An 18-year-old nulliparous woman came with the complaint of pelvic pain and weight loss. Imaging studies demonstrated that she had multiple peritoneal implants and left adnexial mass. Also, laboratory studies showed elevated CA125 and alpha fetoprotein levels suggesting an initial diagnosis of ESS. However, intraoperative frozen section examination showed caseous necrosis, and she was diagnosed as having disseminated peritoneal tuberculosis. Two months after the initial exploration, the patient required liver transplantation because of hepatic failure due to widespread hepatic involvement of the tuberculosis. Concomitant peritoneal and hepatic involvement of tuberculosis may cause false elevation of multiple tumor markers of gynecological cancers and may lead to misdiagnosis and mismanagement of patients. Elevation of these markers should be carefully investigated especially in premenopausal women. To our knowledge, this is the first reported case of peritoneal tuberculosis misdiagnosed as endodermal sinus tumor.
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Jung, Eun Young, Yun Jung Hur, Yoon Jung Lee, Hyo Sang Han, Jae Hong Sang, and Young Sun Kim. "Peritoneal carcinomatosis mimicking a peritoneal tuberculosis." Obstetrics & Gynecology Science 58, no. 1 (2015): 69. http://dx.doi.org/10.5468/ogs.2015.58.1.69.

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44

Malani, Ashok K., and Jayant Rao. "Peritoneal Tuberculosis (? Carcinomatosis)." Mayo Clinic Proceedings 81, no. 4 (April 2006): 443. http://dx.doi.org/10.4065/81.4.443.

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45

Clancy, C., Y. Bokhari, P. M. Neary, and M. Joyce. "Diagnosing peritoneal tuberculosis." Case Reports 2013, jun19 1 (June 19, 2013): bcr2013009871. http://dx.doi.org/10.1136/bcr-2013-009871.

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46

Giménez Domenech, Rafael, Clara Natera, and José María Kindelán Jaquotot. "Sobre tuberculosis peritoneal." Enfermedades Infecciosas y Microbiología Clínica 20, no. 3 (January 2002): 135–36. http://dx.doi.org/10.1016/s0213-005x(02)72769-9.

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47

Kurniaatmaja, Enita R., Ria Bandiara, Ika Kustiyah Oktaviyanti, and Mohammad Rudiansyah. "A Rare Case: Tuberculous Peritonitis, Encapsulating Peritoneal Sclerosis, and Incisional Hernia in Continuous Ambulatory Peritoneal Dialysis Patient." Open Access Macedonian Journal of Medical Sciences 9, no. C (August 21, 2021): 128–32. http://dx.doi.org/10.3889/oamjms.2021.6726.

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BACKGROUND: Peritonitis is the most common infectious complication of peritoneal dialysis (PD) with an estimated ratio of 1:20–30 patients per month. In addition, less than 3% cases are due to Mycobacteria, although not all are caused by Mycobacteria tuberculosis. Therefore, specific examinations are needed for proper diagnosis. Encapsulating peritoneal sclerosis (EPS), another rare complication of PD, accounts for 0.7–13.6 per 1000 patients per year. CASE REPORT: A 37-year-old man undergoing PD, with complaints of intermittent abdominal pain and cloudy fluid, followed by nausea, vomiting, and constipation. Furthermore, visible protrusion was observed on the abdominal wall due to the wound from the Tenckhoff catheter insertion surgery. This is clearly comprehended as the patient sits or stands but disappears on lying down. Along with the condition, continuous ambulatory PD (CAPD) ultrafiltration ability decreases, rough defecation occurs, with a hard sensation on the lower right abdomen. Moreover, the patient had earlier suffered peritonitis for the 3rd time. The results of the dialysate fluid analysis showed a cloudy liquid coloration, as the number of cells 278, polymorphonuclear 87, mononuclear 13, Ziehl–Neelsen +1 and acid-resistant bacteria +3 staining, including GeneXpert MTB/RIF, were positive. Furthermore, abdominal computed tomography (CT) scan revealed a thick peritoneum, partly with calcification, air-filled intestinal, dilated colon with wall thickening. Furthermore, the mesentery lining the liver and intestine were observed to be dense with multiple calcifications to support an EPS. Definitive diagnosis is confirmed by laparotomy and/or laparoscopy, but CT scan provides an alternative. Subsequently, CAPD utilization is discontinued and switched to renal replacement therapy to hemodialysis twice a week due to several complications associated with PD, ranging from recurrent peritonitis, tuberculous peritonitis, EPS, and incisional hernias responsible for an ineffective PD ultrafiltration. CONCLUSION: At present, the combination of clinical symptoms, radiology, and medical pathology remains the key to diagnosing tuberculous peritonitis and EPS. Consequently, prompt and precise analysis determines a good prognosis.
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48

Dulger, Cumhur, Ertan Adali, Serhat Avcu, and Zehra Kurdoglu. "Large Mesenteric Cyst Mimicking Tuberculous Ascites." Case Reports in Medicine 2010 (2010): 1–3. http://dx.doi.org/10.1155/2010/725050.

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Background. Intraabdominal lesions such as mesenteric cysts are uncommon disorders. Most are discovered incidentally during routine abdominal examinations.Methods. We report a patient with a mesenteric cyst masquerading as tuberculous peritonitis and ascites.Conclusion. Mesenteric cysts generally do not show typical clinical findings. They may also present with peritoneal tuberculosis findings such as low albumin gradient ascites with high ascitic adenosine deaminase levels. Surgery is used to remove a wide variety of mesenteric cysts. A correct diagnosis can be made by the combined use of radiographic and sonographic examinations in conjunction with the clinical signs.
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49

Grzebalska, Agnieszka M., Anna Steć, Izabela Ławnicka, Anna Bednarek-Skublewska, and Andrzej Książek. "Retrospective single-center analysis of the reasons and serious complications of peritoneal-related peritonitis in patients with end-stage renal disease undergoing peritoneal dialysis treatment." Polish Journal of Public Health 128, no. 3 (September 1, 2018): 103–6. http://dx.doi.org/10.2478/pjph-2018-0019.

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Abstract Introduction. Peritonitis is still a serious complication of peritoneal dialysis (PD). Consequences of peritonitis can be severe. The most severe are peritoneal dialysis discontinuation and patient’s death. In majority, peritonitis is bacterial in the origin. Mainly there is a gram-positive infection, less commonly gram-negative one. Some peritonitis are culture-negative, because of former antibiotics use. In minority, fungal, tuberculous or even viral peritonitis are observed. Aim. The aim of the present study is to analyze the number, origin and serious complications of peritoneal-related peritonitis cases found in our PD center. Material and methods. We performed a retrospective five-years evaluation of medical records. The total number of peritonitis episodes was 56 cases, underwent by 30 adult patients on chronic peritoneal dialysis. Peritonitis was diagnosed according to ISPD recommendations. Causes and serious complications of peritoneal-related peritonitis were analyzed in every single year. Etiology of peritonitis was classified on the basis of the result of effluent dialysate culture as: gram-positive, gram-negative and culture negative. Peritoneal dialysis discontinuation or patient’s death were defined as serious complications. Results. Among 56 cases of peritoneal-related peritonitis 44.6% were gram-positive, 26.8% gram-negative and 28.6% culture-negative. No fungal or tuberculosis peritonitis were found. Because of the peritonitis complications in the evaluated period, six patients discontinued peritoneal dialysis and were switched to hemodialysis (20%), two others died (6.7%). Conclusion. The further improvement in peritonitis’ causes identification and treatment is needed in order to reduce number of serious complications in our medical center.
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Siagian, Nenci, and Muhammad Vitanata Arfijanto. "Diagnostic Challenge Of Peritoneal Tuberculosis In Woman With Ascites." Biomolecular and Health Science Journal 3, no. 1 (June 12, 2020): 49. http://dx.doi.org/10.20473/bhsj.v3i1.19131.

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Tuberculosis (TB) is a major health global issue including extrapulmonary tuberculosis (EPTB). The one of manifestation of EPTB is peritoneal TB that constitutes 2% from all cases of pulmonary TB around the world. The diagnosis of peritoneal TB is quite challenging because many cases have symptom that similar to other diseases and those often necessary need further specific examinations such as PCR, culture and radiologic examination. We reported a case report of peritoneal tuberculosis in woman with ascites.
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