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2017, Number 1

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Rev Fac Med UNAM 2017; 60 (1)

Pelvic tuberculosis and pregnancy antecedent

Hernández FSE, Vega MME, Niebla CD, Audifred SJR, Recinos CEG, Ojendiz NRC

Language: Spanish
References: 15
Page: 17-22
PDF size: 677.00 Kb.


ABSTRACT

Tuberculosis has been over time a public health problem. The World Health Organization reports annually about 8 million new cases and 3 million deaths. In Mexico, an estimation of around 64,000 prevalent cases of this disease are reported annually. Tuberculosis can affect different organs with clinical presentations that mimic other diseases. A patient presents a history of normal pregnancy and vaginal delivery without complications for 4 months. The clinical picture begins in the postpartum period with the presence of cough accesses registered a month later accompanied by fatigue, weight loss, diffuse abdominal pain, diarrhea and fever syndrome. She received multiple treatments without improvement. She was admissioned to our hospital and an acute abdomen laparotomy was performed with findings of abdominal frozen thickened parietal peritoneum, fixed adhesions, collections of pelvic cavity with whitish, slightly fetid pus, friable tissue, presence of granulomas in bowel loop. A subtotal abdominal hysterectomy with bilateral oophorectomy was performed. The postoperative evolution showed a slow improvement after the report and was corroborated by a histopathological diagnosis of pelvic tuberculosis culture and the initiation of a specific treatment


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