title: Abdominal CT findings to distinguish between tuberculous peritonitis and peritoneal carcinomatosis.
abstract: OBJECTIVE
  Determine useful CT findings for differentiation between tuberculous peritonitis and peritoneal carcinomatosis.
  
  
  METHODS
  Abdominal CT scans in 27 clinically or pathologically proven cases of tuberculous peritonitis and 53 pathologically proven cases of peritoneal carcinomatosis were retrospectively reviewed. CT findings were assessed for ascites, abnormalities of peritoneum, omentum, and mesentery, abdominal lymphadenopathy, and other associated findings in abdomen, bone, and lung bases. Statistical differences of CT findings between two diseases were analyzed using Chi-square or Fisher's exact test.
  
  
  RESULTS
  Fibrin in ascites was found in 5/26 patients with tuberculous peritonitis but none in peritoneal carcinomatosis (p < 0.05). Smooth and uniform peritoneal thickening was more frequently seen in tuberculous peritonitis (p < 0.001), but irregular peritoneal thickening and peritoneal nodules were more frequently seen in peritoneal carcinomatosis (p < 0.001). Type of omental abnormalities showed significantly differed between two diseases (p < 0.001). Smudge type was more commonly found in tuberculous peritonitis, while nodular and cake types were more commonly detected in peritoneal carcinomatosis. Lymph nodes size < 1 cm and location of lymph nodes at peripancreatic region were more frequently identified in tuberculous peritonitis, whereas lymph nodes size > or = 1 cm and contour abnormality of the liver or the spleen were more frequently visualized in peritoneal carcinomatosis (p < 0.05).
  
  
  CONCLUSIONS
  Although some CT findings were overlapped, the present study addressed some useful CT findings for differentiation between tuberculous peritonitis and peritoneal carcinomatosis.
authors.affiliation: Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. ch_aphinya@yahoo.com
authors.forename: Aphinya
authors.initials: A
authors.lastname: Charoensak
authors.forename: Pavinee
authors.initials: P
authors.lastname: Nantavithya
authors.forename: Piyaporn
authors.initials: P
authors.lastname: Apisarnthanarak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000000981:diagnostic imaging* / Q000473:pathology; D016009:Chi-Square Distribution; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D014395:Peritonitis, Tuberculous / Q000000981:diagnostic imaging* / Q000473:pathology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*