Hemorrhagic ascites in peritoneal tuberculosis: case report
Abstract
Objective: To describe a clinical case of hemorrhagic ascites in a patient with peritoneal tuberculosis. Case Description: We present the case of a 37-year-old female patient, with mild protein-calorie malnutrition, who consulted for nonspecific abdominal symptoms and in whom it was demonstrated by imaging studies presence of abundant ascites, left adnexal mass and peritoneal nodular images. She had elevated CA125 and hemorrhagic ascites with great suspicion of peritoneal carcinomatosis due to ovarian cancer, however, the demonstration of chronic granulomatous inflammation with caseous necrosis in biopsies of the peritoneum and omentum and elevated adenosine deaminase (ADA) test in peritoneal fluid allowed the diagnosis of peritoneal tuberculosis. Conclusions: Peritoneal tuberculosis is a rare cause of hemorrhagic ascites. It is necessary to inform the medical community of the presentation of these types of cases to favor the correct approach and integral management of this type of patients.
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Disciplines:
Internal Medicine, Infectology, OncologyReferences
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