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Tuberculous peritonitis

Udayan Srivastava, Omar Almusa, Ka-Wah Tung

    Radiology Case Reports
    |May 18, 2016
    PubMed

    Insights

    Tuberculous peritonitis, a serious condition, is increasingly prevalent, particularly in immunocompromised individuals. This case highlights its presentation mimicking other abdominal issues, emphasizing diagnostic challenges.

    Area of Science:

    • Infectious Diseases
    • Gastroenterology
    • Pulmonology

    Background:

    • Tuberculous peritonitis (TP) is a significant global health concern with increasing incidence.
    • Risk factors for TP include immunocompromised status, chronic kidney disease, and liver disease.
    • Hematogenous spread from pulmonary tuberculosis is the typical route of infection.

    Observation:

    • A 34-year-old male presented with cough, low-grade fevers, abdominal pain, and nausea/vomiting.
    • Chest X-ray revealed nodular opacities in the right upper lobe.
    • CT scan demonstrated omental thickening and nodularity with enlarged mesenteric lymph nodes.

    Findings:

    • Imaging findings were consistent with tuberculous peritonitis.
    • The case underscores the varied presentations of extrapulmonary tuberculosis.
    • Early diagnosis is crucial for effective management and improved patient outcomes.

    Implications:

    • This case highlights the importance of considering tuberculous peritonitis in patients with relevant risk factors and suggestive symptoms.
    • Diagnostic imaging plays a critical role in identifying characteristic patterns of TP.
    • Increased awareness and prompt diagnosis are essential for managing this serious condition.

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