Case of peritoneal tuberculosis in a 54-year-old woman with a history of type II diabetes mellitus, treated irregularly; who presented a clinical picture of abdominal distension, low weight, hyporexia, and diffuse ascites associated with omental edema. A CA-125 sample was taken with a presumed diagnosis of ovarian cancer, however, pathological studies by laparoscopy reported chronic granulomatous peritonitis of the tuberculoid type with caseous necrosis, referring to peritoneal tuberculosis, which is a rare diagnosis that represents 0 .1–0.5% of all cases of Tuberculosis. Peritoneal tuberculosis should be considered as one of the possible differential diagnoses in cases of patients presenting ascites with elevated serum CA-125 levels. However, to confirm the diagnosis it is necessary to obtain histological evidence that supports the presence of changes compatible with this disease. In ...

Crohn's disease (CD) is a chronic inflammatory bowel disease with no “gold standard” for diagnosis. This report, describing the case of a 31-year-old woman with Turner syndrome and chronic recurrence of bloody diarrhea, emphasizes timely diagnosis by intraoperative enteroscopy. The patient, in addition to diarrheal symptoms, presented abdominal pain and severe anemia, which were initially misdiagnosed as celiac disease and then as intestinal tuberculosis. After multiple tests and treatments, a biopsy by intraoperative enteroscopy identified chronic granulomatous ileitis, confirming the diagnosis of CD. This finding was crucial to adjust treatment and significantly improve symptoms. The case  highlights the importance of accurate diagnostic evaluation in patients with complex comorbidities and the value of intraoperative enteroscopy in diagnosing inflammatory bowel diseases. The ...