[Tuberculous peritonitis as still probable cause of ascites]

A 38-year-old man was admitted to hospital because of ascites, fever, weakness, abdominal pain. Chest x-ray revealed old post-tuberculous opacities in the left subclavicular region and fluid in left pleural cave. Cirrhosis of the liver and malignant disease were suspected. Treatment with antibiotics and evacuation of pleural fluid caused short-lasting improvement. After 6 weeks of diagnostic procedures parenchymal infiltrations in left lung were confirmed. In sputum tuberculous bacilli were found. Tuberculous peritonitis was confirmed histopathologically. Antituberculous treatment was successful.