Article information
Resumen
Debemos pensar en el diagnóstico de tuberculosis peritoneal en cualquier paciente con dolor abdominal de etiología desconocida, ascitis y fiebre. Puede presentarse de manera insidiosa (forma clásica), o bien como infertilidad primaria o secundaria (forma actual). El diagnóstico se realiza con el estudio anatomopatológico de los granulomas caseificantes y mediante el cultivo del líquido peritoneal. Nuevas pruebas diagnósticas, como el estudio del ADA (ascitis fluid adenosine deaminasa), pueden cambiar el algoritmo diagnóstico de esta enfermedad
Palabras clave:
Tuberculosis peritoneal
Ascitis
Mycobacterium tuberculosis
Summary
A diagnosis of peritoneal tuberculosis should be considered in all patients with abdominal pain of unknown etiology, ascites and fever. Presentation can be insidious (classical form) or as primary or secondary infertility (as in the present case). Diagnosis is achieved by histological analysis of the caseous granulomas and by fluid culture. New diagnostic tests, such as determination of adenosine deaminase activity (ADA) in ascitic fluid could change the diagnostic algorithm of this disease
Keywords:
Peritoneal tuberculosis
Ascites
Mycobacterium tuberculosis
Full text is only aviable in PDF
Bibliografía
[1.]
Grupo de Trabajo del PMIT.
Incidencia de la tuberculosis en España: resultados del Proyecto Multicéntrico de Investigación en Tuberculosis (PMIT).
Med Clin (Barc), 114 (2000), pp. 530-537
[2.]
S. Álvarez, W.R. Mc Cabe.
Extrapulmonary tuberculosis revisited: a review of experienece at Boston City and other hospitals.
Medicine, 63 (1984), pp. 25-55
[3.]
J.M. Straughn, M.W. Robertson, E.E. Partridge.
A patient presenting with a pelvic mass, elevated CA 125; and fever.
Gynecol Oncol, 3 (2000), pp. 471-472
[4.]
R. Talwani, J.A. Horvath.
Tuberculosis peritonitis in patients undergoing continous ambulatory peritoneal dialysis: case report and review.
Clin Infect Dis, 31 (2000), pp. 70-75
[5.]
E. Badaoui, T. Berney, L. Kaiser, G. Mentha, P. Morel.
Surgical presentation of abdominal tuberculosis: a protean disease.
Hepatogastroenterology, 47 (2000), pp. 751-755
[6.]
L. Taleb Ahmed, K. Bouchetara, C. Bouteville.
La tuberculose génitale de la femme, pp. 16
[7.]
R.E. Martin, R.W. Bradsher.
Elusive diagnosis of tubercolous peritonitis.
South Med J, 79 (1986), pp. 1076-1079
[8.]
A. Balian, I. de Pinieux, D. Belloula, P. Barthelemy, S. Montembault, T. Girard, et al.
Abdominal tuberculosis: deceptive and still encountered.
Presse Med, 29 (2000), pp. 994-996
[9.]
A.H. Zalev, J.S. Sacks, R.E. Warren.
Pancreaticodoudenal tuberculosis simulating metastasic ovarian carcinoma.
Can J Gastroenterol, 11 (1997), pp. 414-423
[10.]
M. Hasegawa, N. Wada, H. Yasuhara, S. Naka, T. Nagao, Y. Ishida, et al.
Tuberculous peritonitis defying diagnosis: report of a case.
Surg Today, 30 (2000), pp. 458-461
[11.]
J.P. Geisler, D.E. Crook, H.E. Geisler, T.J. Cudahay, J. Fraiz, C.P. Bunce, et al.
The great imitator: miliary peritoneal tuberculosis mimcking stage III ovarian carcinoma.
Eur J Gynaecol Oncol, 21 (2000), pp. 115-116
[12.]
W.P. Irvin, L.W. Rice, W.A. Andersen.
Abdominal tuberculosis mimicking metastasic ovarian carcinoma.
Obstet Gynecol, 92 (1998), pp. 709
[13.]
E. Lachman, J. Moodley, S.B. Pitsoe.
Peritoneal tuberculosis imiting ovarian cancer “special category”.
Acta Obstet Gynecol Scand, 64 (1985), pp. 677-679
[14.]
C.S. Chu, A.W. Menzin, D.G. Leonard, S.C. Rubin, J.E. Wheeler.
Primary peritoneal carcinoma: a review of the literature.
Obstet Gynecol Surv, 54 (1999), pp. 323-335
[15.]
M.D. Asnat Groutz, M.D. Erez Carmon, M.D. Andrea Gat.
Peritoneal tuberculosis versus advanced ovarian cancer: a diagnostic dilema.
Obstet Gynecol, 91 (1998), pp. 868
[16.]
S.K. Bhansali.
Abdominal tuberculosis: experience with 300 cases.
Am J Gastroenterol, 67 (1977), pp. 324-337
[17.]
A. Imai, T. Itah, K. Niwa, T. Tamaya.
Elevated CA 125 serum levels in a patient with tuberculous peritonitis.
Arch Gynecol Obstet, 248 (1991), pp. 157-159
[18.]
S.A. Candocia, S.Y. Locker.
Elevated serum Ca 125 secondary to tuberculous peritonotis.
Cancer, 72 (1993 Sep 15), pp. 2016-2018
[19.]
T. Yoshimura, H. Okamura.
Peritoneal tuberculosis with elevated CA 125 levels: a case report.
Gynecol Oncol, 28 (1987), pp. 342-344
[20.]
L. Penna, I. Manyonda, A. Amias.
Intra abdominal miliary tuberculosis presenting as disseminated ovarian carcinoma with ascites and raised CA 125.
Br J Obstet Gynecol, 100 (1993), pp. 1051-1053
[21.]
F. Nistal de Paz, B. Herrero Fernández, R. Pérez Simon, F. Fernández Pérez, C. Nistal de Paz, P. Ortoll Batlle, et al.
Pelvicperitoneal tuberculosis simulating ovarian carcinoma: report of three cases with elevation of the CA 125.
Am J Gastroenterol, 91 (1996), pp. 1660-1661
[22.]
D.K. O'Riordan, A. Deery, A. Dorman, O.E. Epstein.
Increased CA 125 in patient with tuberculous peritonitis: case report and review of published works.
Gut, 36 (1995), pp. 303-305
[23.]
A.O. Shakil, J. Korula, G.C. Kanel, N.G. Hurray, T.B. Reynolds.
Diagnostic features of tuberculous peritonitis in the abcence and presence of chronic liver disease: a case control study.
Am J Med, 1002 (1996), pp. 179-185
[24.]
J.M. Kasia, E. Verspyck, G. Le Bouedec, C. Struder, D. Bourgeois, D. Wendum, et al.
Peritoneal tuberculosis. Value of laparoscopy.
J Gynecol Obstet Biol Reprod (Paris), 26 (1997), pp. 367-373
[25.]
S. McLaughlin, T. Jones, M. Pitcher, P. Evans.
Laparoscopic diagnosis of abdominal tuberculosis.
Aust N Z J Surg, 68 (1998), pp. 599-601
[26.]
K.R. Reddy, R.E. DiPrima, J.B. Raskin, L.J. Jeffers, R.S. Phillips, H.D. Manten, et al.
Tuberculous peritonitis: laparoscopic diagnosis of an uncommon disease in the United States.
Gastrointest Endosc, 34 (1988), pp. 422-426
[27.]
W.R. Harlan, I.S. Grimm.
Tuberculosis peritonitis: can ADA keep the laparoscope away?.
Gastroenterology, 113 (1997), pp. 687-689
[28.]
I.T. Ramadan, N.V. Abdul-Ghaffar.
Malabsorption syndrome complicating tuberculous peritonitis.
Int J Tuberc Lung Dis, 1 (1997), pp. 85-86
[29.]
J.B. Marshall.
Tuberculosis of the gastrointestinal tract and peritoneum.
Am J Gastroenterol, 88 (1993), pp. 989-999
[30.]
D.J. Hillebran, B.A. Runyon, W.G. Yasmineh, G.P. Rynders.
Ascitic fluid adenosine deaminase intensitivity in detecting tuberculous peritonitis in the United States.
Hepatology, 24 (1996), pp. 1408-1412
[31.]
P. Kirschner, J. Rosenau, B. Springer, K. Teschner, K. Feldmann, E.C. Bottger, et al.
Diagnosis of mycobacterial infections by nucleid acid amplification: 18 month prospective study.
J Clin Microbiol, 34 (1996), pp. 304-312
[32.]
N. Lal, V. Soto-Wright.
Peritoneal tuberculosis: diagnostic options.
Infect Dis Obstet Gynecol, 7 (1999), pp. 244-247
[33.]
A.A. Alrajhi, M.A. Halim, A. al-Hokai, F. Arabian, K. al-Omran.
Corticosteroid treatment of peritoneal tuberculosis.
Clin Infect Dis, 27 (1998), pp. 52-56
[34.]
H. Bukharie.
Paradoxical response to anti-tuberculous drugs: resolution with corticosteroid therapy.
Scand J Infect Dis, 32 (2000), pp. 96-97
[35.]
C. Jiménez Pérez, J.M. Torres León, M. Martínez Alonso, R. González Arias, F. Benito Sánchez, S. de la Torre Gutiérrez, et al.
Peritoneal tuberculosis: evaluation of the response to treatment by analysing the CA 125 levels.
Rev Esp Enferm Dig, 90 (1998), pp. 592-593
Copyright © 2002. Sociedad Española de Ginecología y Obstetricia