Tuberc Respir Dis.  1978 Mar;25(1):1-6. 10.4046/trd.1978.25.1.1.

Clinical Observation on 140 Cases of Tuberculous Peritonitis

• KMID: 2528927
• DOI: http://doi.org/10.4046/trd.1978.25.1.1

Abstract

Clinical observation was perfoimed on 140 cases of tuberculous peritonitis confirmed by laparotomy, peritoneal needle biopsy, or response to anti-tuberculous therapy from 1972 to 1976 at St. Mary’s hospital, St. Paul’s hospital and St. Vincent’s hospital. The following results were obtained. 1. The male sex ratio was 1:3. 7, and peak incidence of age was 21-30 years. 2. The mean hemoglobin was 10.7 Gm/ dl, and the white cell counts were normal ranges in, peripheral blood. 3. Total serum protein was 6. 63 Gm/ dl (Albumin 3. 16, Globumin 3.47), and also showed mild hypoalbuminemia. The ascites revealed the characteris tics of exudate, which contained mean protein 4.17 Gm/dl, whitecell counts 1309/mm³ , of which Iymphocytes were dominant. 5. Combined diseases with this tuberculous peritonitis were; intestinal tuberculosis 38 cases, pulmonary tuberculosis 38 cases, tuberculous pleuurisy 15 cases, tuberculous salphingitis 6cases, and others 3 cases. 6. The diagnostic accuracy of peritoneal needle biopsy was 57.3% and it may be the most accurate methode except laparatomy. 7. The most common subject symptoms were abdo minal distension and pain. 8. There was no correlation between serum albumin and protein concentration in ascites. 9. There was also no relatioship between periperal Iymphocytesand ascitic lymphocytes.