Tuberculosis tubaria y peritoneal que simula carcinomatosis. Linfopenia con trombocitosis como auxiliar en el diagnóstico diferencial

The most common clinical form of tuberculosis is pulmonary disease; extrapulmonary tuberculosis (ETB) is rarer and difficult to diagnose. The clinical manifestations are nonspecific and compatible with other diseases. ETB with peritoneal involvement ranks sixth. A total of 25-75% of patients with abdominal tuberculosis eventually require surgery; this should be a conservative procedure with resections reserved for complicated cases. Ileus represents 15-60% of complications, intestinal perforation 1-15%, abscesses and fistulas 2-30% and, finally, haemorrhage 2%. Herein we report a case of a female patient in her 30s who presented with surgical acute abdominal pain. At laparotomy we found free fluid, widespread lesions similar to carcinomatosis and multiple adhesions. The definitive diagnosis through histopathology biopsy was peritoneal tuberculosis. Medical management for tuberculosis was administered. At present the patient is alive and well.