Tuberculous peritonitis in the first trimester of pregnancy.
10.5468/ogs.2017.60.2.218
- Author:
Sukyung JUNG
1
;
Nae Ri YUN
;
Jeong Ok KIM
;
Jeong Hoon LEE
;
Ho Yeon KIM
;
Eunseop SONG
;
Byoung Ick LEE
;
Sung Ook HWANG
;
Soo Ran CHOI
Author Information
1. Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea. csran@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Peritonitis;
tuberculous;
Pregnancy
- MeSH:
Abdomen;
Abortion, Therapeutic;
Adult;
Biopsy;
Dyspnea;
Female;
Fever;
Follow-Up Studies;
Humans;
Liver;
Liver Diseases;
Peritonitis;
Peritonitis, Tuberculous*;
Pregnancy;
Pregnancy Trimester, First*;
Pregnancy*;
Thorax;
Tuberculosis
- From:Obstetrics & Gynecology Science
2017;60(2):218-222
- CountryRepublic of Korea
- Language:English
-
Abstract:
Tuberculous peritonitis in pregnancy is a rare form of extrapulmonary tuberculosis that is not easily diagnosed. The clinical presentations of tuberculous peritonitis are usually non-specific and mimic those of other diseases, such as ovarian malignancy or chronic liver disease, and this non-specificity can cause diagnostic delays and complications. The authors report the case of a 31-year-old primigravida woman who presented with uncontrolled fever, dyspnea, elevated liver enzymes, and mild abdominal distension at 13+2 weeks of gestation. At 14+2 weeks, a therapeutic abortion was conducted and tuberculous peritonitis was confirmed by laparoscopic excisional biopsy of peritoneal nodules and histopathologic examination. The patient recovered on antituberculosis therapy and abdomen and chest follow up radiographic findings have confirmed improvement.
