Atypical presentation of Tuberculous Peritonitis: a case report
نویسنده
چکیده
Background. We report a case of tuberculous peritonitis in a 46 year-old North African male patient. Case presentation. Relentless hiccup, dyspepsia, anorexia and weight loss were the chief complaints. Physical examination revelead only abdominal distension, suggesting ascites. Ultrasound tomography and computed tomography scan of the abdomen showed massive ascites but no enlargement of the liver or the spleen. Diagnostic laparoscopy revelead a large macro and micro-nodular degeneration of the peritoneum similar to a massive carcinomatosis, but the histological examination showed epitheloid granuloma with Langhans type-giant cells with area of caseous necrosis. Repeated tests for mycobacteria, including Protein C Reactive, were negative; however, the diagnosis of tuberculous peritonitis was made, and the ascites responded rapidly to antimycobacterial therapy; the other symptoms gradually subsided. The patient was symptom-free after 6 months.
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