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Revista Española de Enfermedades Digestivas
Print version ISSN 1130-0108
Abstract
OSPINA-MORENO, Carolina et al. Peritoneal tuberculosis: radiographic diagnosis. Rev. esp. enferm. dig. [online]. 2014, vol.106, n.8, pp.548-551. ISSN 1130-0108.
Peritoneal tuberculosis (TB) is an extrapulmonary form of presentation of tuberculosis. HIV infection is a primary risk factor for this condition. Diagnosis requires microbiological or histopathological confirmation in addition to supporting radiological imaging studies. Abdominal ultrasonography and CT are useful to obtain a radiographic diagnosis, with typical findings including diffuse peritoneal thickening, presence of ascites in varying volumes, adenopathies, and caseating nodes. We report 2 cases of patients with ascites and nodular peritoneal thickening on diagnostic images, as well as high CA-125 levels in laboratory tests. In both patients, a diagnosis of peritoneal tuberculosis was reached following a US-guided peritoneal biopsy.
Keywords : Peritoneal tuberculosis; Cancer antigen (CA) 125; Ascites; Peritoneal carcinomatosis.