Tuberculous peritonitis (dry type)

Case contributed by Dr Ian Bickle

Presentation

A 12 year old female presented to hospital with non-specific symptoms and a cervical lymph node.

Patient Data

Age: 12 years
Gender: Female
CT

The working diagnosis prior to CT imaging was of a haemopoietic malignancy

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.

Case Discussion

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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Case information

rID: 19287
Published: 23rd Aug 2012
Last edited: 25th Mar 2018
Inclusion in quiz mode: Included

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