Tuberculose peritoneal e carcinomatose peritoneal: diagnóstico diferencial

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v100i6p614-618

Keywords:

Peritoneal tuberculosis, Ascites, Abdominal pain

Abstract

Peritoneal tuberculosis is a disease that is difficult to diagnose, accounts for 1-2% of all forms of tuberculosis. Its clinical presentation is varied and nonspecific; abdominal pain and fever are the most frequent findings. We report a case of a 48-year-old female patient who presented ascites, fever and weight loss, whose initial diagnosis was ovarian cancer with peritoneal carcinomatosis Further investigation, including laboratory exams and omentum biopsy established the diagnosis of peritoneal tuberculosis. There was no pulmonary tuberculosis. Specific treatment was instituted and resulted in a satisfactory response. The present study aims to emphasize that, among the different pathologies that affect the peritoneum, tuberculous peritonitis must be considered as a differential diagnosis, especially in the presence of ascites and non-specific abdominal condition and to discuss the main findings and the investigative approach.

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Author Biographies

  • Isabella Silvestre Ignarro, Universidade Estadual de Campinas

    Médica Residente da especialidade Clínica Médica na Universidade Estadual de Campinas (Unicamp), Campinas – São Paulo. 

  • Juliana Jangelavicin Barbosa, Universidade Estadual de Campinas

    Médica Residente da especialidade Clínica Médica na Universidade Estadual de Campinas (Unicamp), Campinas – São Paulo. 

  • Beatriz Maria Vilaça, Universidade Estadual de Campinas

    Médica Residente da especialidade Clínica Médica na Universidade Estadual de Campinas (Unicamp), Campinas – São Paulo.

  • Adriane Delicio, Universidade Estadual de Campinas, Faculdade de Ciências Médicas

    Médica infectologista Doutora em Ciências da Saúde, área de concentração Saúde Materna e Perinatal, pelo Programa de Pós-Graduação em Tocoginecologia da Faculdade de Ciências Médicas da Unicamp (2017); Professora auxiliar de ensino do Departamento de Clínica Médica da Faculdade de Ciências Médicas da Unicamp. 

  • Daniela Miti Tsukumo Seixas, Universidade Estadual de Campinas

    Médica Doutora em Clínica Médica pela Universidade Estadual de Campinas (Unicamp, 2008); Assistente da Disciplina de Medicina Interna do Departamento de Clínica Médica da Unicamp. 

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Published

2021-12-26

Issue

Vol. 100 No. 6 (2021)

Section

Relato de Caso/Case Report

License

Copyright (c) 2021 Isabella Silvestre Ignarro, Juliana Jangelavicin Barbosa, Beatriz Maria Vilaça, Adriane Delicio, Daniela Miti Tsukumo Seixas

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Ignarro, I. S., Barbosa, J. J. ., Vilaça, B. M. ., Delicio, A. ., & Seixas, D. M. T. . (2021). Tuberculose peritoneal e carcinomatose peritoneal: diagnóstico diferencial. Revista De Medicina, 100(6), 614-618. https://doi.org/10.11606/issn.1679-9836.v100i6p614-618