Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.10/1923
Título: Abdominal tuberculosis: an old disease surprising young doctors.
Autor: Sousa, M
Batista, J
Pacheco, P
Nunes, V
Palavras-chave: Gastrointestinal tuberculosis
Intestinal obstruction
Parenteral nutrition
Tuberculose gastrointestinal
Data: 2016
Editora: BMJ Publishing Group
Citação: BMJ Case Rep. 2016 Nov 2;2016. pii: bcr2016216057
Resumo: Tuberculosis remains a worldwide public health concern. Atypical extrapulmonary presentations may delay the diagnosis and treatment. We present the case of an adult woman admitted to the emergency department with bowel obstruction. The putative intraoperative diagnostic hypothesis was ovarian cancer with peritoneal dissemination. Histopathological analysis showed a chronic granulomatous inflammatory disease with acid-fast bacilli. The patient was started on an alternative parenteral antituberculosis drug combination until oral feeding was available. Currently, 5 months after surgery, she is asymptomatic. Abdominal tuberculosis is the most frequent extrapulmonary site with a wide range of clinical presentations. Emergency laparotomy may be necessary in patients who present with acute abdomen. Bowel obstruction due to adhesions and strictures is not infrequent. However, tuberculous abdominal cocoon presentation as in our patient is rare. Treatment with parenteral alternative drug regimens for tuberculosis is mandatory until the oral route is available.
Peer review: yes
URI: http://hdl.handle.net/10400.10/1923
DOI: 10.1136/bcr-2016-216057.
ISSN: 1757-790X
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