Tuberculosis tb is a common disease in spain, whose incidence has increased due to aids, immunotherapy and immigration. Tuberculous peritonitis tp is a rare, extrapulmonary manifestation of tuberculosis 1 2. Tuberculosis intestinal y peritoneal scielo infomed. Abdominal tuberculosis is an important concern for clinicians in the tropical world. Tuberculous abdominal cocoon is an uncommon manifestation of abdominal tuberculosis. In addition, endoscopic lesions resemble those of other diseases such as crohns disease cd.
Tuberculous abdominal cocoon mimicking peritoneal carcinomatosis zhixin meng1, yan liu2, rui wu1, kai shi1 and tao li1 abstract background. Abdominal tuberculosis tb includes involvement of the gastrointestinal tract, peritoneum, lymph nodes, andor solid organs. Although historically associated with drinking unpasteurized milk, more recently, intestinal tuberculosis. It may also spread from infected abdominal or pelvic structures, however, this is a rare occasion 3. It should always be considered in differential diagnosis, but the diagnosis is rarely easy for clinicians. Scribd is the worlds largest social reading and publishing site. Tuberculosis peritoneal e intestinal gastro peritoneo. The absence of characteristic clinical features of the disease often makes its diagnosis difficult and elusive. Nine patients were treated with steroids plus antituberculosis agents cases, and 26 received antituberculosis treatment only controls. Abdomen agudo perforativo por tuberculosis intestinal. 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 patient suffered from abdominal pain for a period of 5 months prior to admission. Cases of tuberculosis tb, including tp, have recently risen. Rx torax infiltrado bilateral intersticio alveolar. Intestinal disease is rare and can be difficult to diagnose because its symptoms and laboratory results are nonspecific. Diagnosing peritoneal tuberculosis bmj case reports. Traditionally the peritoneal tb is divided into three types. A young female patient who presented with abdomen tenderness and diagnosed with peritoneal tuberculosis as a result of performed. 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. Abdominal tb comprises around 5 percent of all cases of tb worldwide. We present the case of 61yearold female with peritoneal tuberculosis. As a rare clinical entity, it is often encountered unexpectedly in patients with small intestinal obstruction. Gelberg, in pathologic basis of veterinary disease sixth edition, 2017. Tuberculosis intestinal y peritoneal intestinal and peritoneal tuberculosis blanca caridad piedra herrera, 1 ricardo barbero arencibia, 2 yanet acosta piedra 3 1 medico.
Tuberculosis extraabdominal fue encontrada en 22 pacientes 63,32%. Abdominal tuberculosis of the gastrointestinal tract. Gastrointestinal and peritoneal tuberculosis springerlink. Differentiation between intestinal tuberculosis and chron. Intestinal tuberculosis a recent series which highlights the intestinal tubeculosis provides a elaborate view of symptomatology of the colonic tuberculosis table 2. Abdominal tuberculosis, which is a form of extrapulmonary tuberculosis, affects the gastrointestinal tract, spleen, pancreas, liver, peritoneum, omentum and lymph nodes adjacent to. Peritoneal tuberculosis is rare with increased incidence rates in recent years. Tp mainly occurs via the hematogenous spread of mycobacterium tuberculosis microorganisms from the affected lungs. Peritoneal tuberculosis accounts for 34% of all presentations of tuberculosis.
Eight per cent of 1,801 consecutive patients at the trudeau sanatorium had definite intestinal tuberculosis. 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. Intestinal and or peritoneal tuberculosis and its involvement in the acute abdomen. Here we presented a rare case of tuberculous abdominal cocoon which was suspected to be peritoneal carcinomatosis and was finally diagnosed by. Corticosteroid treatment of peritoneal tuberculosis pdf.
Tuberculosis intestinal y peritoneal piedraherrera. It is a great mimicker and the diagnosis is difficult due to low sensitivity of histological and. 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.