Multifocal idiopathic fibrosclerosis mimicking tuberculosis of the abdomen.

We present a 13 year old girl from Assam who had been treated as abdominal tuberculosis for 2 years due to the presence of refractory lymphocyte-predominant ascites and multiple small bowel strictures associated with significant anorexia and weight loss. On evaluation she was found to have retroperitoneal fibrosis with hydroureteronephrosis, mediastinal fibrosis and a retro-orbital pseudotumour. Based on these findings the diagnosis of Multifocal Idiopathic Fibrosclerosis (MIFS) was made. Ascites and multiple bowel strictures have been only rarely been described in association with MIFS. The other unique features in this patient were the early age of presentation, the presence of mediastinal fibrosis in association with retroperitoneal fibrosis, extensive soft tissue fibrosis of the neck, axillae and the presence of trismus. In a country like ours where Tuberculosis is commonplace, one would not think twice about treating such a case with antituberculous therapy. However, with a constellation of findings suggestive of a diffuse fibrotic process, MIFS should be an important consideration.©

Tuberculosis peritoneal: reporte de un caso / Peritoneal tuberculosis: case report

Se presenta el caso de un joven médico de 27 años de edad quien presenta dolor abdominal de 3 meses de evolución asociado a pérdida de peso. Se efectúa un procedimiento videolaparoscópico y se confirma el diagnóstico de Tuberculosis peritoneal. Luego de 3 meses con tratamiento antituberculoso el paciente presenta una buena evolución. Se discute el caso

Tuberculosis genital y CA-125 elevado / Genital tuberculosis and high CA-125 titles

Se presenta caso de tuberculosis genital en mujer joven con títulos altos de CA-125 y diagnóstico inicial de carcinomatosis peritoneal de probable origen ovárico. Se compara hallazgos con lo reportado en la literatura a tráves de los 20 años en Medline y se discute su tratamiento

Vólvulo de sigmoides asociado a tuberculosis peritoneal / Sigmoid volvulus associated to peritoneal tuberculosis

Actualmente se considera que un tercio de la población humana se encuentra infectado por Mycobacterium tuberculosis. La tuberculosis mimetiza toda una variedad de padecimientos y, en el caso de su variante peritoneal que comprende del 0.7 al 2 por ciento de todos los casos registrados, puede comportarse clinicamente como cualquier otra patología abdominal. Por su parte, el vólvulo de sigmoides constituye una entidad con amplias variaciones geográficas, con una prevalencia de 0.2 por ciento en Occidente y con una tasa de mortalidad considerable del 30 por ciento. De etiología incierta, se relaciona con variaciones anatómicas, régimen dietético, constipación crónica, procesos inflamatorios localizados, enfermedades neurológicos, adherencias posquirúrgicas, embarazo, toxinas y enfermedades metabólicas. Presentamos un caso clínico en el que se conjugan estas dos patologías

Uso da laparoscopia no diagnóstico da tuberculose peritoneal / Use the laparoscopy in dignosis of tugerculous perionitis

A laparoscopia é um método propedêutico utilizado para avaliar as moléstias que acometem a cavidade abdominal e näo está isenta de complicaçöes. Relata-se dois casos de tuberculose peritoneal diagnosticadas por meio de laparoscopia, comenta-se suas formas de apresentaçäo e discute-se os métodos de diagnóstico desta doença de sintomas inespecíficos.

Formes pseudochirurgicales de la tuberculose peritoneale

Since the pandemic acquired immunodeficiency syndrome, tuberculous peritonitis became more frequent and raise up more interest. The pseudosurgical forms of tuberculous peritonitis are rare. Their frequency varies from 2% to 8.8%. the authors report four cases observed over a four year period among 21 cases of tuberculous peritonitis which fit in with a frequency of 19%

Abdominal mycobacterial infection in acquired immunodeficiency syndrome patients

The authors studied 12 patients with AIDS and abdominal mycobacteriosis hospitalized in the Hospital lpiranga (Sao Paulo, Brazil), from June 1989 to January 1992. Diagnosis was confirmed by the histopathological examination of organ specimens collected during laparotomy, which, in most cases, was carried out due to an emergency situation. Observations included perforation of the ileum, seropurulent fluid involved and bloked by viscera, epiploon, and fibrin. Hepatoesplenomegaly was present in all patients and generalized granulomatous peritonitis was observed in more than 50 percent. A patient died in the immediate post-op period, four after an average period of 55 days in the hospital. A patient evolved with stercoral fistula and asked to be discharged. Six patients were discharged after an average hospitalization period of 27 days. The authors stress that in developing regions where tuberculosis incidence is high, a patient with AIDS and a painful and irritative abdominal picture should always lead to the hypothesis of mycobacteriosis.

Echinococcic pseudotuberculosis of peritoneum.

A rare case of hydatid cyst of liver presenting with ascites masquerading as peritoneal tuberculosis is presented.