Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 7, Number 4, April 2016, pages 130-132

A Rare Case of Peritoneal Tuberculosis

Figures

Figure 1.
Figure 1. CT scan revealing irregular pelvic mass.
Figure 2.
Figure 2. Flexible sigmoidoscopy suggestive of a possible extrinsic compression by a pelvic mass.
Figure 3.
Figure 3. Diagnostic laparoscopy revealed miliary seedlings on peritoneum and serosal surface of bowel with dense adhesions.

Tables

Table 1. Clinical Features of Abdominal Tuberculosis [2]
 
Abdominal pain
Abdominal distension
Weight loss
Ascites
Diarrhea
Nausea and vomiting
Abdominal mass
“Doughy” abdomen (rare)

 

Table 2. Common Findings for Peritoneal Tuberculosis Using the Various Diagnostic Modalities [3]
 
Ultrasound findingsCT findingsLaparoscopic findings
Abdominal lymphadenopathy with hypoechogenic centersAbdominal lymphadenopathy with low attenuation centers and an enhanced rimThickened, hyperemic, occasionally hemorrhagic, inflamed peritoneum
Localized ascitesDiffuse regular thickening of the peritoneumDiffuse, white-yellowish uniform (3 - 5 mm) tubercular deposits on peritoneum, omentum and organs
SeptationsThickened mesentery and bowel wallAdhesions between organs and peritoneum
Fine strands
Mass lesions