Korean J Pediatr Infect Dis.  2004 May;11(1):131-135. 10.14776/kjpid.2004.11.1.131.

A Case of Tuberculous Peritonitis Diagnosed by Colonoscopic Biopsy

• Park HJ
• Lee SM
• Kim SM
• Jeong DC
• Chung SY
• Kang JH

• KMID: 2440079
• DOI: http://doi.org/10.14776/kjpid.2004.11.1.131

Abstract

Tuberculous peritonitis is a rare cause of intra-abdominal infection. Although sometimes asymptomatic, most of the patients have fever, weight loss, abdominal pain, and edema. The diagnosis of tuberculous peritonitis is difficult and sometimes delayed because of confusion of the disease with other illnesses and the non-specificity of signs and symptoms. Tuberculous peritonitis is examined with ultrasonography and computerized tomogram, but confirmed by biopsy or tuberculosis culture. Ascitic fluid is exudates with a lot of lymphocytes and elevated protein. Tuberculous peritonitis is treated successfully with isoniazid, rifampicin for one year, pyrazinamide for first 2 months and streptomycin for first one month. We experienced one case of tuberculous peritonitis with transudate of ascitic fluid, confirmed by biopsy using colonoscopy, and treated successfully.

Keyword

Tuberculous peritonitis; Colonoscopy; Transudate

MeSH Terms

Abdominal Pain
Ascitic Fluid
Biopsy*
Colonoscopy
Diagnosis
Edema
Exudates and Transudates
Fever
Humans
Intraabdominal Infections
Isoniazid
Lymphocytes
Peritonitis, Tuberculous*
Pyrazinamide
Rifampin
Streptomycin
Tuberculosis
Ultrasonography
Weight Loss
Isoniazid
Pyrazinamide
Rifampin
Streptomycin