Tuberculosis in the Peritoneum: Not Too Rare After All

Abstract

Peritoneal tuberculosis is rare with increased incidence rates in recent years. The absence of characteristic clinical features of the disease often makes its diagnosis difficult and elusive. We present the case of 61-year-old female with peritoneal tuberculosis. The patient suffered from abdominal pain for a period of 5 months prior to admission. The diagnosis was established on the basis of findings from an abdominal computed tomography scan, a chest radiograph and histopathological analysis of the laparoscopic resection of the two masses. The patient was discharged from hospital receiving a fourfold antituberculous treatment with isoniazid, rifampicin, pyrazinamide and ethambutol. A high index of suspicion and a combination of radiologic, endoscopic, microbiologic and histopathological examination achieves diagnostic accuracy and prevents clinical mismanagement.

Diagnostic Challenge Of Peritoneal Tuberculosis In Woman With Ascites

“…2 There are two conditions of peritoneal TB, acute and chronic. 4 The acute condition shows acute abdomen signs and symptoms with or without ascites. 4 The chronic condition has 3 types: (1).…”

“…2 Ascites is one of common symptom of peritoneal TB that mimic to other disease such as cirrhosis hepatis, autoimmune disease and malignancy. 1,3,4 So that the diagnosis largely depends on more specific examination. 2 Therefore, we reported a case report of woman with ascites and other clinical signs of chronic disease and malignancy.…”

Tuberculosis in an Immunocompetent Immigrant Patient

“…The infection can then spread to the adjacent lymph nodes and peritoneum. Finally, peritoneal TB may develop due to the direct spread of infection from an infected adjacent focus, such as a psoas abscess or fallopian tubes in women [1,7].…”

Tuberculous peritonitis in children: Two case reports highlighting the important role of imaging

“…The condition occurs in up to 3.5% of cases of pulmonary TB, and 31%-58% cases of abdominal TB [8] . The pathogenesis of peritoneal TB occurs most commonly via hematogenous spread after reactivation of latent TB involving primary lung foci, though it can occur during active pulmonary TB or miliary TB as well [9] . It can also result from rupture of mesenteric lymph nodes following hematogenous spread, gastrointestinal dissemination, or gynecologic involvement [10] .…”