Atzori Sebastiana, Vidili Gianpaolo, Delitala Giuseppe
Department of Clinical and Experimental Medicine, University of Sassari, Azienda Ospedaliero Universitaria, Sassari, Italy.
J Infect Dev Ctries. 2012 Dec 15;6(12):886-90. doi: 10.3855/jidc.2654.
The peritoneum is one of the most common extrapulmonary sites of tuberculous infection. We report a case of peritoneal tuberculosis (TB) in a 25-year-old man. In this case, ultrasound of the abdomen played an important role in the diagnostic process. The diagnosis of this disease, however, remains a challenge because of its insidious nature, the variability of its presentation, and the limitations of available diagnostic tests. A high index of suspicion should be considered, particularly in high-risk patients with unexplained ascites. In our case ultrasound guided the diagnosis by rapidly identifying abnormal signs, which in high-prevalence settings are extremely suggestive of peritoneal tuberculosis.
腹膜是肺外结核感染最常见的部位之一。我们报告一例25岁男性的腹膜结核病例。在该病例中，腹部超声在诊断过程中发挥了重要作用。然而，由于这种疾病隐匿的性质、临床表现的多样性以及现有诊断测试的局限性，其诊断仍然是一项挑战。应高度怀疑，尤其是对于有不明原因腹水的高危患者。在我们的病例中，超声通过快速识别异常征象引导了诊断，在高发病率地区这些征象极具腹膜结核的提示性。
