Peritoneal tuberculosis in an immunocompetent patient: A case report.

Introduction: Tuberculosis is endemic in Colombia, the prevalence of its pulmonary form in immunocompetent hosts is high, and peritoneal compromise instead is rare and difficult to diagnose. Case presentation: A 24-year-old female patient living in a rural area presented to the emergency department with constitutional and gastrointestinal symptoms, including bloating, diarrhea, significant weight loss, nocturnal diaphoresis, and gradual onset of ascites with abdominal pain. Diagnostic workup, including paracentesis, a transvaginal ultrasound, and an abdominal CT scan, did not suggest malignancy or portal hypertension. However, diagnostic laparoscopy revealed a miliary pattern comprising the parietal and pelvic peritoneum, uterus, fallopian tubes, and major omentum suggestive of peritoneal tuberculosis. Anti-tuberculosis therapy was initiated with subsequent microbiological confirmation. Conclusion: Abdominal compromise by tuberculosis is a diagnostic challenge, especially in patients with no apparent risk factors. The clinical manifestations and paraclinical data may be unspecific or inconclusive, requiring peritoneal biopsy and empirical treatment before definitive confirmation.

Pulmonary infarction in a term neonate

Se presenta un caso raro de consolidación del lóbulo izquierdo superior en las primeras horas de vida secundario a tromboembolismo con infarto pulmonar masivo. Raras veces en el período neonatal estos fenómenos tromboembólicos se asocian a infartos pulmonares

Cáncer de pene: análisis estadístico / Penile neoplasms: statistical analysis

En el presente estudio se hace un análisis estadístico de la información obtenida de los expedientes de los pacientes con cáncer de pene diagnosticados en el Centro Médico de Mayaguez entre los años 1979 a 1984. Estos resultados se comparan con publicaciones anteriores. Se hace una exhortación de educación a la comunidad para prevenir esta malignidad