Presentation
Fever and chills for 3 weeks.
Patient Data
Age: 15 years
Gender: Female
From the case:
Tuberculous peritonitis
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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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