Tuberculous Peritonitis

Borhanmanesh, Fathali; Hekmat, Keyoumars; Vaezzadeh, Karim; Rezai, Hamid R.

doi:10.7326/0003-4819-76-4-567

Cited by 59 publications

(8 citation statements)

References 14 publications

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“…Histopathology (necrotizing or caseous granulomas and/or AFB) is highly suggestive and virtually diagnostic of tuberculosis, but it is not specific or pathognomonic. However, in the right clinical and epidemiological context, typical findings can support a presumptive diagnosis of TB 1 , 6 , 14 - 16 as occurred in our patients. Hepatic biopsy has a sensitivity of 68% for caseating granulomas in hepatic biopsies.…”

Section: Discussionsupporting

confidence: 69%

“…Hematogenous dissemination from a primary lung focus is probably the most important mechanism of peritoneal involvement. 6 , 15 In our patients, we did not find active pulmonary tuberculosis.…”

Section: Discussionsupporting

confidence: 38%

“…Approximately 15-25% of patients with abdominal TB have concomitant active pulmonary TB, 1 , 13 - 15 more than 50% of patients with abdominal TB patients have some alteration in CxR suggestive of TB, 6 , 13 - 15 and one third of abdominal TB have evidence of extraperitoneal TB. 4 , 6 This high prevalence of extrapulmonary TB suggests that abdominal TB is a part of disseminated TB. Hematogenous dissemination from a primary lung focus is probably the most important mechanism of peritoneal involvement.…”

Section: Discussionmentioning

confidence: 99%

“… 5 , 15 - 18 Direct biopsy of suspicious lesions by laparoscopy or laparotomy is the most certain method to obtain diagnostic samples. 4 - 6 …”

Section: Discussionmentioning

confidence: 99%

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Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis

et al. 2021

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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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Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 38%

Section: Discussionmentioning

confidence: 99%

“… 5 , 15 - 18 Direct biopsy of suspicious lesions by laparoscopy or laparotomy is the most certain method to obtain diagnostic samples. 4 - 6 …”

Section: Discussionmentioning

confidence: 99%

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Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis

et al. 2021

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“…7 Es predominante en personas entre la tercera y cuarta década de la vida, pero puede ocurrir a cualquier edad. 8 Las mujeres se afectan más en países en vía de desarrollo 14 , algo no notado en las naciones del primer mundo. 15 El desarrollo de la tuberculosis peritoneal se ha asociado con varios factores de riesgo como infección por VIH, enfermedad hepática alcohólica, ser nativo americano, enfermedad renal crónica en diálisis peritoneal, diabetes mellitus, cáncer y uso de corticoesteroides y medicamentos inmunosupresores.…”

Section: I S C U S I ó Nunclassified

Tuberculosis peritoneal y pleural en un paciente inmunocompetente con dolor abdominal crónico

Parra

Torres²,

Ramírez³

et al. 2020

Repert. Med. Cir.

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La tuberculosis es un grave problema de salud pública más acentuado en los países en desarrollo. De las manifestaciones extrapulmonares las que comprometen la cavidad abdominal están dentro de las menos frecuentes y se asocian con factores de predisposición específica. Se requiere un alto nivel de sospecha diagnóstica en el abordaje inicial de esta enfermedad. Presentamos el caso de un adulto masculino sin condiciones de predisposición quien consultó por un cuadro de dolor abdominal crónico y los estudios complementarios manifestaron una tuberculosis peritoneal con compromiso pleural sin síntomas respiratorios.

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Tuberculous Enteritis and Peritonitis

Sherman¹

1980

Arch Intern Med

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IntrductionInflammatory bowel diseases (IBD) are chronic inflammatory bowel disease. Two major forms of nonspecific IBD are recognized: Crohn's disease (CD), which can affect any part of the GI tract, and ulcerative colitis (UC), which affects only the large bowel. There is overlap between these two conditions in their clinical features, histological and radiological abnormalities; in 10% of cases of colitis a definitive diagnosis of either UC or CD is not possible. The incidence of CD varies from country to country but is approximately 4-10 per 100 000 annually, with a prevalence of 27-106 per 100 000. It is very rare in developing country like Bangladesh. This disease is a multisystem disease which can affect any part of the body. The most common problem in diagnosing a case of Crohn's disease is similarity with tuberculosis. Its actually a diagnostic challenge to differentiate between disseminated TB.In this particular case we present an isolated Crohn's disease that was initially presented with severe anemia. Case ReportA 26-year-old married male was initially presented with profound asthenia two and half year back. For that he was evaluated and diagnosed as a case of severe anemia and was treated with seven unit of blood transfusion on two different occasion, but he lost all his documents. On that time, he had no history of haematemesis, melaena, jaundice, vomiting

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Tuberculous Peritonitis

Cited by 59 publications

References 14 publications

Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis

Abdominal tuberculosis misdiagnosed as acute surgical abdomen and carcinomatosis

Tuberculosis peritoneal y pleural en un paciente inmunocompetente con dolor abdominal crónico

Tuberculous Enteritis and Peritonitis

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