Tuberculous peritonitis

Case contributed by Ammar Haouimi
Diagnosis almost certain


Fever and chills for 3 weeks.

Patient Data

Age: 15 years
Gender: Female

The CT scan demonstrates:

  • moderate ascites
  • smooth and nodular thickening with the enhancement of the peritoneal reflections
  • omental stranding with nodular thickening
  • diffuse serosal thickening with enhancement of the small bowel.
  • enlarged mesenteric hypodense lymph nodes
  • intramesenteric collection (3.7 x 3.5 x 3 cm) with peripheral enhancement
  • mild right-sided pleural effusion (no parenchymal lesion seen on lung window- not shown)
  • appendicolith (incidental finding)

Case Discussion

The clinical presentation and CT features are highly suggestive of tuberculous peritonitis which was confirmed after analysis of the ascitic fluid.

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