Résumé
Les auteurs rapportent le cas d’un malade âgé de 42 ans, souffrant d’une cirrhose hépatique compliquée d’ascite réfractaire au traitement diurétique conventionnel. La laparoscopie associée á la biopsie péritonéale guidée a permis de poser le diagnostic définitif de tuberculose péritonéale associée á la cirrhose hépatique. Les auteurs discutent le rôle de la laparoscopie avec biopsies péritoneales dirigées, dans le diagnostic et le traitement de cette affection.
Summary
A 42-year-old male previously diagnosed as suffering from cirrhotic ascites and who had not responded to conventional diuretic therapy was admitted to our clinic for further examination. Laparoscopy with guided peritoneal biopsy allows us to obtain a final diagnosis of tuberculous peritonitis associated with liver cirrhosis. We discuss the role of laparoscopy with target peritoneal biopsy in the diagnosis and the management of this condition.
Resumen
Los autores aportan el caso de un paciente de 42 a., afecto de cirrosis hepdtica complicada con ascitis refractaria al tratamiento diuretico convencional. La laparoscopia con biopsia peritoneal dirigida permitio establecer el diagnóstico definitivo de tuberculosis peritoneal asociada ala cirrosis hepática. Los autores discuten el papel de la laparoscopia y biopsia dirigida en el diagnóstico y tratamiento de esta afeccion.
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Orlando, R., Sawadogo, A. & Okolicsanyi, L. Cirrhose compliquée de tuberculosa péritonéale Cause inhabituelle d’ascite réfractaire. Acta Endosc 20, 99–103 (1990). https://doi.org/10.1007/BF02966607
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DOI: https://doi.org/10.1007/BF02966607