presentación atípica de tuberculosis peritoneal: caso clínico diagnosticado por laparoscopia atypical peritoneal tuberculosis: use of laparoscopy in the diagnosis

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ID: 250540
2007
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Abstract
La sospecha clínica de tuberculosis peritoneal debe estar presente en todo paciente con dolor abdominal de etiología desconocida; sobre todo si se acompaña de fiebre, ascitis y distensión abdominal. El acceso por vía laparoscópica a la cavidad abdominal de forma reglada contribuye de manera primordial al diagnóstico tanto por la imagen macroscópica como para la toma de biopsia, que dará posteriormente la confirmación anatomopatológica y microbiológica. Ayudando a discriminar entre los posibles diagnósticos diferenciales que acontecen con clínica similar. Otras pruebas diagnósticas analíticas deben ser tenidas en cuenta para ayudar tanto a la indicación de laparoscopia como de cara al diagnóstico, son tales como la ADA, gammagrafía con Galio-67 y Ca-125.
The presence of peritoneal tuberculosis has to be clinically suspected in all patients with abdominal pain of unknown etiology, particularly when it is accompanied by fever, ascites, and abdominal distension. Access to the abdominal cavity using routine laparoscopy provides essential information on the diagnosis, from both macroscopic images and biopsy sampling, which will later provide a pathological and microbiological confirmation. This helps discriminate between potential differential diagnoses that may include similar symptoms. Other laboratory tests have to be considered as diagnostic aids, as well as for the indication of laparoscopy, including ADA, and Gallium-67 or Ca-125 scans.
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Authors ;J. M. Suárez Grau;C. Rubio Chaves;J. L. García Moreno;J. A. Martín Cartes;M. Socas Macías;J. M. Álamo Martínez;F. López Bernal;H. Cadet Dussort;M. Bustos Jiménez;J. D. Tutosaus Gómez;S. Morales Méndez
Journal chemistry of heterocyclic compounds
Year 2007
DOI
DOI not found
URL
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082007001200010
Keywords
ascites Gastroenterology laparoscopydiseases of the digestive system dry peritonitis

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