Resumo

TOMAS, Claudia et al. Peritoneal tuberculosis: diagnostic challenge for the gynecologist. Acta Obstet Ginecol Port [online]. 2017, vol.11, n.1, pp.61-63. ISSN 1646-5830.

Peritoneal tuberculosis is an uncommon form of extra-pulmonary tuberculosis. A 53-year-old female presented with weight loss, fever and abdominal pain with abnormal vaginal discharge. On physical examination rebound lower abdominal tenderness, leucorrhoea and painful cervical motion were noted. Intravenous antibiotics were started, assuming the diagnosis of pelvic inflammatory disease, without clinical improvement and a pelvic MRI was done that showed signs consistent with peritoneal carcinomatosis. Surgical peritoneal biopsies showed multiple granulomas with central necrosis. Tuberculosis treatment was started with clinical improvement. Among suspicious cases peritoneal biopsies are essential to confirm the diagnosis of peritoneal tuberculosis.

Palavras-chave : Peritoneal tuberculosis; Peritoneal carcinomatosis.

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