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[Chronic abdominal pains caused by peritoneal tuberculosis - two case reports]
P Boabang1, M Brunken, J Boxhorn
1Abteilung für Gynäkologie und Geburtshilfe, Maria-Hilf-Krankenhaus, Bergheim-Erftkreis, Germany.
Zentralblatt Fur Gynakologie
|December 26, 2001
Summary
Diagnosing peritoneal tuberculosis can be challenging due to vague symptoms. This report details two successful recovery cases through prompt diagnosis and standard tuberculostatic therapy.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pathology
Background:
- Peritoneal tuberculosis presents with nonspecific symptoms, complicating diagnosis.
- Chronic abdominal pain, weight loss, and ascites are key indicators.
Observation:
- Two patients presented with therapy-refractory chronic abdominal pain, weight loss, and ascites.
- Exploratory laparotomy with peritoneal and omentum biopsy confirmed the diagnosis.
Findings:
- Histopathology confirmed peritoneal tuberculosis in both cases.
- Standard tuberculostatic therapy (isoniazid, rifampicin, pyrazinamide, streptomycin) led to complete recovery.
Implications:
- Highlights the importance of considering peritoneal tuberculosis in complex abdominal pain cases.
- Demonstrates the efficacy of established treatment protocols for peritoneal tuberculosis.