title: Tuberculous peritonitis in a young female diagnosed using mini-laparotomy: a case report.
abstract: 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.
authors.affiliation: Department of Obstetrics & Gynecology, Tripler Army Medical Center, Honolulu, HI 96859-5000.
authors.forename: A C
authors.initials: AC
authors.lastname: Wittich
authors.forename: H L
authors.initials: HL
authors.lastname: Olson
authors.forename: S A
authors.initials: SA
authors.lastname: Elg
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents