Rodríguez MAF, Cazares GA

Language: Spanish
References: 0
Page: 103-108
PDF size: 334.09 Kb.

ABSTRACT

Tuberculosis peritonitis is caused by Mycobacterium tuberculosis and is classified as extra pulmonary tuberculosis. The disease is favored by different circumstances: malnutrition, liver cirrhosis and HIV among others. Acute surgical abdomen caused by tuberculosis peritonitis is infrequent, the diagnosis is made by laparotomy where whitish granulomatous lesions are observed in the omentum and peritoneum as well as free fluid in the abdominal cavity. We present the case of a 23 year-old female patient who was seen as an emergency patient at the Regional Hospital of Huambo, Angola, with a personal pathological history of HIV and malnutrition, who presented with intense diffuse abdominal pain with generalized peritoneal reaction, fever and decay. She underwent surgery, an omentum biopsy was performed, which revealed the presence of tuberculoid granuloma and the culture of the free fluid was positive for Koch's bacillus, and the peritoneal cavity was aspirated and washed. Anti-tuberculosis medical treatment was administered and she was discharged after 10 days. She was followed up by surgery for eight weeks and by Internal Medicine for six months. During this period the patient improved and was grateful to the health care team that provided her medical care.