Tuberculous peritonitis (dry type)
A 12 year old female presented to hospital with non-specific symptoms and a cervical lymph node.
The working diagnosis prior to CT imaging was of a haemopoietic malignancy
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Marked omental thickening and multiple enlarged mesenteric lymph nodes.
Throughout the abdomen there is diffuse omental and peritoneal disease with 'matted' bowel loops.
Long thickened segment of terminal ileum.
Right hilar lymphadenopathy. Extensive subcarinal lymph node enlargement.
The imaging appearances were confirmed with an ultrasound guided biopsy, which confirmed the prescence of caseating granulomas and AFFB were identified.
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