Tuberculous peritonitis in a young female diagnosed using mini-laparotomy: a case report.
An 18-year-old female Pacific Islander with abdominal pain, ascites, and fever was transferred to our hospital with suspected ovarian malignancy. These nonspecific clinical features of tuberculous peritonitis in a female frequently contribute to misdiagnosis. Preoperative findings included negative sputums, negative purified protein derivative, and no acid-fast bacilli (AFB) found in peritoneal fluid or fine needle biopsy of the omentum. Tuberculous peritonitis was diagnosed after omental biopsy obtained at mini-laparotomy showed granulomatous inflammation and positive isolation of AFB.
Wittich
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AC
Department of Obstetrics & Gynecology, Tripler Army Medical Center, Honolulu, HI 96859-5000.
Olson
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HL
Elg
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SA
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D007813:Laparotomy; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000995:Antitubercular Agents