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Tuberculous peritonitis in pregnancy
Gui Se Ra Lee1, Sa Jin Kim, In Yang Park
1Department of Obstetrics and Gynecology, Catholic University Medical College, Seoul, Korea.
The Journal of Obstetrics and Gynaecology Research
|September 24, 2005
Summary
Tuberculous peritonitis during pregnancy is rare. This case study details a successful pregnancy outcome with chemotherapy and surgical intervention for a pregnant woman diagnosed with tuberculous peritonitis.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Gastroenterology
Background:
- Tuberculous peritonitis is an uncommon manifestation of extrapulmonary tuberculosis, particularly during pregnancy.
- Primary tuberculous peritonitis in pregnancy presents diagnostic and management challenges.
Purpose of the Study:
- To report a case of primary tuberculous peritonitis in pregnancy.
- To highlight the diagnostic approach and successful management of this rare condition.
Main Methods:
- A case of a 23-year-old primigravida at 24 weeks' gestation with primary tuberculous peritonitis.
- Diagnosis confirmed via histopathologic examination of an excisional peritoneal biopsy during laparotomy.
- Management involved antituberculous chemotherapy.
Main Results:
- The patient recovered well physically following treatment.
- The pregnancy progressed to term.
- A healthy male neonate weighing 2.5 kg was delivered vaginally at 37 weeks' gestation.
Conclusions:
- Primary tuberculous peritonitis in pregnancy, though rare, can be successfully managed.
- Multidisciplinary management involving surgery and chemotherapy can lead to favorable maternal and fetal outcomes.