[A case of tuberculous mesenteric lymphadenitis and peritonitis with symptoms of acute abdomen].
Both of tuberculous mesenteric lymphadenitis and tuberculous peritonitis are now rather rare in parallel with the decrease of the incidence of tuberculosis as a whole. Here, we report a case of tuberculous mesenteric lymphadenitis complicated with tuberculous peritonitis. A 28-year-old man was admitted to our hospital with pulmonary tuberculosis. Antituberculous chemotherapy was started and his chest X-ray findings were improved. After 11 weeks of the treatment, high fever of 39.0 degrees C developed suddenly and he complained right lower abdominal pain. During laparotomy performed on suspicion of acute appendicitis, swelling of mesenteric lymph-nodes, numerous miliary tubercles on mesentery and turbid ascites were noticed. Diagnoses of tuberculous mesenteric lymphadenitis and tuberculous peritonitis were confirmed by bacteriological and histological examinations of lymph-nodes and tubercles. Ileocecal resection was performed and clinical course after the surgery was favourable.
Konishi
H
H
Department of Surgery, National Toneyama Hospital, Osaka, Japan.
Kuwahara
O
O
Miyazaki
M
M
Nishikawa
H
H
D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D006801:Humans; D008297:Male; D008643:Mesentery; D014395:Peritonitis, Tuberculous / Q000150:complications*; D014388:Tuberculosis, Lymph Node / Q000150:complications*