RT Journal Article
T1 Laparoscopic Diagnosis of Peritoneal Tuberculosis
A1 Viejo Martínez, Elena
A1 García Nebreda, María
A1 De Fuenmayor Valera, María Luisa
A1 Paseiro Crespo, Gloria Marta
AB Peritoneal tuberculosis is a rare form of tuberculosis, which involves parietal and visceral peritoneum, omentum, and intestinal mesentery. Its incidence is increasing in developed countries due to HIV infection and immigration. We present a case of peritoneal tuberculosis in a twenty two-year-old patient misdiagnosed with appendicitis. A laparoscopic surgery was performed showing multiple implants on serosal surfaces and adhesions. Laparoscopic appendectomy and peritoneal biopsies were performed. As peritoneal tuberculosis was suspected, an early antituberculous treatment was initiated. A pathological examination of the samples revealed epithelioid granulomas with a centrale caseous necrosis and acid-fast bacilli. Peritoneal tuberculosis is a challenging diagnosis that can mimic other pathologies and should be kept in mind to establish an early antituberculosis treatment avoiding the high morbidity and mortality associated with a late treatment initiation. In case of suspicion of peritoneal tuberculosis, laparoscopy with guided biopsies is useful for the establishment of a correct diagnosis.
PB SAGE Publications
SN 0003-1348
YR 2021
FD 2021-02-25
LK https://hdl.handle.net/20.500.14352/114584
UL https://hdl.handle.net/20.500.14352/114584
LA eng
NO Viejo Martínez E, García Nebreda M, de Fuenmayor Valera ML, Paseiro Crespo G. Laparoscopic Diagnosis of Peritoneal Tuberculosis. The American SurgeonTM. 2023;89(4):1271-1272. doi:10.1177/0003134821998670
DS Docta Complutense
RD 26 dic 2025