Related Experiment Video

Updated: Feb 4, 2026

Isolating Malignant and Non-Malignant B Cells from lck:eGFP Zebrafish
08:32

Isolating Malignant and Non-Malignant B Cells from lck:eGFP Zebrafish

Published on: February 22, 2019

7.5K

Tuberculous peritonitis following intestinal perforation in malignancy

Jiyoung Hwang1, Seong Sook Hong1, Hyun-Joo Kim1

  • 1Department of Radiology, Soonchunhyang University College of Medicine, Seoul Hospital, Seoul, Republic of Korea.

Revista Da Associacao Medica Brasileira (1992)
|October 11, 2018
PubMed

Insights

Tuberculous peritonitis, a common cause of ascites, is difficult to diagnose and often mistaken for malignancy, especially in the elderly. Early diagnosis and anti-TB treatment are crucial for managing this extra-pulmonary tuberculosis.

Area of Science:

  • Gastroenterology and Hepatology
  • Infectious Diseases
  • Oncology

Background:

  • Tuberculous peritonitis is a frequent cause of exudative ascites, particularly in younger individuals.
  • It represents a significant form of extrapulmonary tuberculosis.
  • Diagnosis is challenging due to a lack of specific clinical or imaging features, often leading to misdiagnosis, especially in elderly patients with concurrent malignancies.

Observation:

  • This report details two cases of tuberculous peritonitis in elderly patients with existing malignancies, occurring post-intestinal perforation.
  • The diagnosis was confirmed through laparoscopic peritoneal biopsy and Acid-Fast Bacilli (AFB) cultures of ascitic fluid.

Findings:

  • Laparoscopic biopsy and AFB cultures are effective diagnostic methods for tuberculous peritonitis.
  • Prompt initiation of anti-tuberculosis (anti-TB) medication is the standard treatment.

Implications:

  • Highlights the importance of considering tuberculous peritonitis in elderly patients with ascites, especially those with malignancies and a history of intestinal perforation.
  • Emphasizes the need for advanced diagnostic techniques like laparoscopy and microbiological cultures when standard methods are inconclusive.
  • Underscores the treatability of tuberculous peritonitis with appropriate anti-TB therapy, even in complex cases.

More Related Videos

Intravital Imaging of Intraepithelial Lymphocytes in Murine Small Intestine08:00

Intravital Imaging of Intraepithelial Lymphocytes in Murine Small Intestine

Published on: June 24, 2019

8.7K
Multifractal Spectrum Analysis for Assessing Pulmonary Nodule Malignancy05:24

Multifractal Spectrum Analysis for Assessing Pulmonary Nodule Malignancy

Published on: January 10, 2025

893

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
600
Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
87.4K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
765
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
727
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
3.1K
Small Intestine01:15

Small Intestine

The small intestine is primarily responsible for digestion and nutrient absorption. It spans from the pyloric sphincter to the ileocecal valve and connects to the large intestine.
The small intestine is divided into three main sections - the duodenum, jejunum, and ileum. The duodenum, approximately 25 cm long, is nearest the stomach. It acts as a 'mixing bowl,' where chyme (partially digested food) blends with digestive enzymes from the pancreas and liver. The duodenum's unique...
3.9K