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A Journal on Surgery

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Chirurgia 2005 October;18(5):423-6

language: Italian

Clinical and diagnostic considerations about tubercolous peritonitis. Two cases and literature rate

Corsale I., Buccianelli E., Aloise F., Mori P., Sorce S., Bartolomei M., Rigutini M., Luceretti R., Veltroni A


Tuberculous peritonitis is a rare extra pulmonary form of infection from mycobacterium tuberculosis. Peritoneal involvement with specific granulomatous nodes became from a direct infection from abdominal or pelvic bowels or to a systemic diffusion. The Authors report two cases of tuberculous peritonitis, which required surgical peritoneal biopsy to obtain a correct diagnosis. Clinical and biological signs, radiological imaging and difficulty of an appropriate diagnosis are discussed. The role of surgery, specially the laparoscopy, as best diagnostic method and relief of a precocious diagnosis are emphasized. In young women, coming from endemic tuberculous countries, with suspect clinical signs (fever unknown origin and ascitis), increase of CA-125 serum levels and pelvic mass we have to retain tuberculous peritonitis in consideration to the correct diagnosis.

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