A Rare Case of Peritoneal Tuberculosis

Wan-Ling Alyssa Chiew, Jia Xuan Jolene Liu, Li Tserng Teo


Peritoneal tuberculosis (TB) is a rare extra-pulmonary presentation of TB, caused by strains of mycobacteria, usually Mycobacterium tuberculosis. The clinical presentation of peritoneal TB can be extremely varied, making it a huge diagnostic challenge. Herein, we report a case of a 62-year-old Chinese female with no previous exposure to TB, presenting with 1-day history of per-rectal bleeding and abdominal pain. The diagnosis was eventually made with a combination of blood investigations, computerized tomography scans and histological analysis of peritoneal nodules found on diagnostic laparoscopy, which confirmed necrotizing granulating inflammation. She was subsequently started on anti-TB medications promptly without any further complications and recovered uneventfully.

J Med Cases. 2016;7(4):130-132
doi: http://dx.doi.org/10.14740/jmc2449w


Peritoneal tuberculosis; Raised CA-125; Surgery

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