Peritoneal tuberculosis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Progressive abdominal distension with weight loss, night sweats, and low-grade fever.

Patient Data

Age: 30 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Axial T1
fat sat
This study is a stack
Axial
T2
This study is a stack
Sagittal
T2
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Coronal
T2
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

The MRI sequences demonstrate a massive ascites with regular and nodular thickening with enhancement of the peritoneal reflections and omental stranding.

Bilateral ovarian follicles, the largest on the right of high signal on T1 with a sediment of low signal on T2 with peripheral enhancement (hemorrhagic follicle).

Case Discussion

The clinical presentation and the MRI features are in favor of peritoneal tuberculosis which was pathologically proven.

 

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