Non-surgical acute abdomen: intestinal tuberculosis.

This was a 21-year-old woman with nonspecific findings in her clinical history, who was operated on for abdominal pain with generalized peritonism, high fever, and severe leukocytosis. No alterations were seen in her thorax. The following was found during the procedure: turbid ascites and generalized peritoneal seeding, particularly in the terminal ileum. A histological examination of biopsy samples revealed tuberculoid granulomas suggestive of miliary seeding. The patient was treated for six months with three tuberculostatic drugs (isoniazid, rifampicin, pyrazinamide), and remains asymptomatic to this day. Diagnosis: intestinal tuberculosis.