Peritoneal and pleural tuberculosis

Case contributed by Dr Paul Leong

Presentation

Three month history of weight loss. Presented with shortness of breath and distended abdomen.

Patient Data

Age: 56
Gender: Male
Modality: CT

Right pleural effusion, with underlying pleural nodularity.

Small-moderate amount of ascites. Peritoneal nodularity, as well as nodular omental thickening. 

Case Discussion

The main differential diagnoses for this case would be

  • malignancy
  • TB infection

Biopsy was performed of the terminal ileum which demonstrated non-necrotising granulomatous inflammation, with a positive mycobacterium TB PCR.

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Case Information

rID: 26593
Case created: 30th Dec 2013
Last edited: 29th Sep 2016
Inclusion in quiz mode: Included

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