Código ISSN 2588-0551
https://www.inspilip.gob.ec
INSPILIP Magazine - V 6 - Number 1 - May 2022
6
6
116
Lovato F, Herrera J, Núñez
G, Jerez E, Raza E. Peritoneal
tuberculosis, tomographic
diagnosis. Scientic journal
INSPILIP. 2022; 6 (1).
The author declares that he is free
of any personal or commercial
association that could suppose a
conict of interest in connection
with the article, as well as having
respected the ethical principles of
research, such as having requested
the authorizations of the institution
where the study was carried
out. , permission to use the data,
informed consent and in the case of
observational studies and clinical
trials, authorization from a CEISH,
ARCSA, Environment, among
others, according to the category.
In addition, the license to publish
images of the persons that appear
in the manuscript. For this reason,
INSPILIP is not responsible for
any aectation to third parties, nor
is INSPI as the publishing entity,
nor the Editor, the responsibility
of the publication is the absolute
responsibility of the authors.
Lovato Balseca Félix MD.
a,b
, felixlovato@hotmail.com
Herrera Defaz Jesenia MD.
b
, Kateherrera_d@yahoo.es
Núñez Flores Grace MD.
b
, gracepamela714@gmail.com
Jerez Cunalata Érik MD.
b
, ericivanjerez@gmail.com
Raza López Elisa MD. Esp.
b
, elisa85r@live.com
a. Hospital General de Agudos Magdalena V. de Martínez, Imaging service ,Province of Buenos
Aires, Argentina.
b. Latin American Center for Epidemiological Studies and Social Health, Quito, Ecuador.
Correspondence: Félix Lovato Balseca Email: felixlovato@hotmail.com
Identication of responsibility and contribution of the authors: The authors declare having
contributed to the original idea, the methodological part, the writing of the draft and the writing of
the article (F, JH, GN, EJ, ER )
Entry Date: 15/02/2022. Approval date: 26/05/2022. Publication Date: 05/11/2022.
Keywords: Tuberculosis. Peritonitis, Tuberculous. Tomography.
Palabras clave: Tuberculosis. Peritonitis Tuberculosa. Tomografía
Peritoneal tuberculosis, tomographic diagnosis
Tuberculosis peritoneal, diagnóstico tomográco
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DOI: https://doi.org/10.31790/inspilip.v6i1.269
Medical Imaging
Open access
Citation
Código ISSN 2588-0551
https://www.inspilip.gob.ec
Peritoneal tuberculosis, tomographic diagnosis
Lovato Balseca F.
117
6
6
INSPILIP Magazine - V 6 - Number 1 - May 2022
Peritoneal tuberculosis is considered a rare
form of extrapulmonary tuberculosis. It occurs
mainly in patients with cirrhosis, HIV+, diabetes
mellitus, malignancy, in treatment with anti-TNF,
and in patients on peritoneal dialysis.
A combination of signs characterized by ascites,
peritoneal implants and lymphadenopathy has
been observed in a computerized axial
tomography (CAT). Peritoneal thickening can
also be seen
1
.
In particular, the drawback of this form of
tuberculosis lies in the diculty in reaching a
d e n i t i v e d i a g n o s i s , s i n c e t h e s y m p t o m s a n d
imaging tests can be non-specic.
Even in most cases it is necessary to resort
to invasive diagnostic tests such as ultrasound-
guided ne-needle aspiration or CT, for the
corresponding collection of biological samples
for diagnosis
2
.
Next, the imaging ndings of extrapulmonary
tuberculosis, peritoneal, by tomography
(Figure 1A and 1B) are described. The ideal
type of imaging study is performed according
to the clinical condition of each patient.
Currently, greater sensitivity of tomography to
identify extrapulmonary lesions has been
demonstrated compared to ultrasound.
Bibliographic references
1. Wu DC, Averbukh LD, Wu GY. Diagnostic and
Therapeutic Strategies for Peritoneal Tuberculosis: A
Review. J Clin Transl Hepatol. 2019;7(2):140-8.
2. Putruele A. Tuberculosis extrapulmonar: un
diagnóstico difícil. Revista americana de medicina
respiratoria, 18(3), 150-151. 2018.
Figure 1A: Abdominal tomography with oral and intravenous contrast
in axial secon; shows free uid in the abdominal cavity (arrowhead).
Thickening and reculaon of the greater omentum (arrow) is
observed.
Source: Imaging service of the Hospital General de Agudos Magdalena
V. de Marnez 2017-2019.
Figure 1B: Tomography of the abdomen and pelvis with intravenous
contrast in coronal secon, observing thickening and reculaon of
the peritoneum (arrows) with abdominal uid (arrowheads).
Source: Imaging service of the Hospital General de Agudos Magdalena
V. de Marnez 2017-2019.