title: Tuberculous peritonitis in the first trimester of pregnancy.
abstract: Tuberculous peritonitis in pregnancy is a rare form of extrapulmonary tuberculosis that is not easily diagnosed. The clinical presentations of tuberculous peritonitis are usually non-specific and mimic those of other diseases, such as ovarian malignancy or chronic liver disease, and this non-specificity can cause diagnostic delays and complications. The authors report the case of a 31-year-old primigravida woman who presented with uncontrolled fever, dyspnea, elevated liver enzymes, and mild abdominal distension at 13+2 weeks of gestation. At 14+2 weeks, a therapeutic abortion was conducted and tuberculous peritonitis was confirmed by laparoscopic excisional biopsy of peritoneal nodules and histopathologic examination. The patient recovered on antituberculosis therapy and abdomen and chest follow up radiographic findings have confirmed improvement.
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Sukyung
authors.initials: S
authors.lastname: Jung
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Nae Ri
authors.initials: NR
authors.lastname: Yun
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Jeong Ok
authors.initials: JO
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Ho Yeon
authors.initials: HY
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Eunseop
authors.initials: E
authors.lastname: Song
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Byoung Ick
authors.initials: BI
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Sung Ook
authors.initials: SO
authors.lastname: Hwang
authors.affiliation: Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Soo Ran
authors.identifier: 0000-0003-3371-9102
authors.initials: SR
authors.lastname: Choi
keywords: Peritonitis; Pregnancy; tuberculous