1.The CT findings and clinical course of intraperitoneal tuberculous abscess.
Korean Journal of Medicine 2008;74(3):233-234
Paradoxical response during antituberculosis treatment occurs frequently in non-HIV-infected patients as well as in HIV-infected patients, and intraperitoneal tuberculous abscess can develop as paradoxical response in tuberculous peritonitis patients rarely. The unique CT findings are not present and microbiologic or pathologic confirm is needed for diagnosis of intraperitoneal tuberculous abscess. Further study is needed to define steroid use or operation indication of intraperitoneal tuberculosis abscess.
Abscess
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Humans
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Peritonitis, Tuberculous
;
Tuberculosis
2.Study the difference of clinical and laparoscopic features between peritoneal tuberculosis and peritoneal malignancy
Ngoc Thi Thanh Vu ; Oanh Thi Kim Dang
Journal of Medical Research 2007;53(5):38-41
Background: Peritoneal tuberculosis (PT) and peritoneal malignancy (PM) are the most frequent causes of exsudate ascitic fluid but the different diagnosis between the former and the latter is also difficult and elusive. Objective: To study the difference of clinical and laparoscopic features between PT and PM. Subjects and method: 76 patients with PT and 50 with PM were diagnosed by laparoscopy and peritoneal biopsy. Ascitic mycobacterium tuberculosis was detected by PCR analysis. Exsudate ascites was confirmed according to criteria of Light. Results and Conclusions: Average age of PT was younger than of PM (p < 0.001). The frequency of fever, pleural effusion in the patients with PT was higher than those in PM (p < 0.001 and 0.05). The anemia and abdominal tumefaction in those of PM was more frequent than in those of PT (p < 0.05 and 0.001). High protein ascitic fluid and numerous lymphocytes in the patients with PT was frequent than in those with PM (p < 0.05). Laparoscopic features: In those patients with PT the white "miliary nodules" or adhesions between abdominal wall was more frequent than in those with PM (p < 0,05) and in patients with PM omental thickening, tumor formation was more than in those with PT.
Peritonitis
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Tuberculous/pathology
;
diagnosis
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Laparoscopy
3.3 cases of tuberculous peritonitis complicating long-term CAPD.
Yi Sook HWANG ; Jae Hyung AHN ; Tae Won LEE ; Chun Gyoo IHM ; Myung Jae KIM
Korean Journal of Nephrology 1991;10(2):245-249
No abstract available.
Peritoneal Dialysis, Continuous Ambulatory*
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Peritonitis, Tuberculous*
4.A Case of Tuberculous Peritonitis Confirmed by Peritoneoscopy.
Jin CHOI ; Kyu Youp KIM ; Woo Gill LEE ; Choon Suk KEE ; Min AHN
Journal of the Korean Pediatric Society 1981;24(7):666-670
Tuberculous peritonitis is mainly transmitted via hematogenous spreading of tuberculous bacilli. But sometimes this disease is occured, as the abdominal lymph node infected by the localized tuberculous enteritis was ruptured We pressent the report and the brief review of related literatures, who experienced a case of tuberculous peritonitis confirmed by paracentiesis and peritoneoscopic examination in a 9 years old male patient who was suspected toa malignant tumor because of the recent unexplained abdominal distension.
Child
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Enteritis
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Humans
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Laparoscopy*
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Lymph Nodes
;
Male
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Peritonitis, Tuberculous*
5.CT Findings of Peritoneal Tuberculosis and Peritoneal Carcinomatosis: Relationship between Peritoneal Change and Omental Infiltration.
Seong Ki JEONG ; Hae Jong JUNG ; Sung Hag KANG ; Sung Ran SHIN ; Kil Jun LEE ; Min Jin LEE ; Sang Chun LEE
Journal of the Korean Radiological Society 1997;36(1):101-107
PURPOSE: To compare the CT findings of peritoneal tuberculosis (PT) and peritoneal carcinomatosis (PC) based on the morphologic features of the peritoneum and assess the relationship between the degree of peritoneal thickness and the severity of omental infiltration in PT and PC. MATERIALS AND METHODS: We retrospectively reviewed the CT findings of 15 patients with PT and 14 with PC. We checked the morphologic changes of the peritoneum as seen on CT, for the following points: 1) the presence of peritoneal change: 2) the pattern of any change-diffuse thickening, plaque or nodularity, combined thickening (diffuse and plaque, or nodularity); 3) the degree of thickness on the whole peritoneum - mild (grossly definite, but not more than 3 mm), moderate (more than 3mm); 4) the presence of irregularity on the peritoneal surface. We also evaluated the significance of the relationship between peritoneal thickness and omental infiltration in both disease entities. The degree of omental infiltration was described as follows : grade I (no change or focal smudge pattern); grade II ( diffuse smudge), grade III (omental cake regardless extent). RESULTS: Peritoneal change was seen in 12 of 15 PT patients and in 7 of 14 PC patients. In all 12 PT patients, the pattern of change was diffuse thickening, and among the seven PC patients, there was diffuse thickening in one, plaque or nodular thickening in four, and combined thickening in two. In PT patients, the degree of thickness on the whole peritoneum was mild in six and moderate in six, and in PC patients it was mild in two and moderate in one. An irregular peritoneum surface was seen in one patient with PT and in two with PC. The degree of omental infiltration in PT was grade I in four patients, grade II in six andgrade III in five. In PC, it was grade I in six patients, grade II in two and grade III in six. Smooth diffuse thickening of the peritoneum was seen in 11 of 15 PT cases and in one of 14 PC (P<0.01). Accompanying plaque or nodularity was seen only in PC, in six of 14 patients (P<0.001). The relationship between the degree of peritoneal thickness and severity of omental infiltration was significantly proportional in PT (r=0.900, P<0.001), but not in PC (r=0.068, P>0.5). CONCLUSION: In PT and PC different CT findings based on peritoneal morphologic changes might be useful in differentiating these two entities. In addition, careful observation of relationship between the peritoneal change and the severity of omental infiltration is necessary.
Carcinoma*
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Humans
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Peritoneum
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Peritonitis, Tuberculous*
;
Retrospective Studies
;
Tuberculosis
6.A Case of Primary Tuberculous Peritonitis in Pregnancy.
Gui Se RA ; Sa Jin KIM ; Yeun Young LEE ; Min HUR ; Soo Young HUR ; Eun Joong KIM
Korean Journal of Perinatology 2002;13(4):427-429
Although the diagnosis of primary tuberculous peritonitis in pregnancy is seems challenging because of protean manifestations and difficult surgical intervention, prompt diagnosis and treatment can minimize both maternal and fetal/neonatal mortality. We have experienced one case of this disease in 23-year-old primigravida in 24 weeks of gestation.
Diagnosis
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Humans
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Mortality
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Peritonitis, Tuberculous*
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Pregnancy*
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Young Adult
7.Two Cases of Peritoneal Tuberculosis Mimicking Peritoneal Carcinomatosis on F-18 FDG PET/CT.
Soon Uk CHOI ; Eun Sil KIM ; Soyon KIM ; Chang Min YU ; Se Han LEE ; Hee Jae HYUN ; Hyo Jin LEE ; Seung Yup KIM
Nuclear Medicine and Molecular Imaging 2009;43(5):499-504
F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET/CT) plays an important role in diagnosis of malignant tumors and adds to conventional imaging in the staging of pertoneal carcinomatosis. However, false positive cases resulting from benign disease such as tuberculosis may occur. We report two cases of peritoneal tuberculosis on F-18 FDG PET/CT which showed multiple hypermetabolic foci in the mesentery and peritoneum with increased serum cancer antigen 125 (CA 125). Subsequent F-18 FDG PET/CT showed a disappearance of pathologic uptake following treatment with anti-tuberculosis drugs.
Carcinoma
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Mesentery
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Peritoneum
;
Peritonitis, Tuberculous
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Positron-Emission Tomography
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Tuberculosis
8.Peritoneal carcinomatosis mimicking a peritoneal tuberculosis.
Eun Young JUNG ; Yun Jung HUR ; Yoon Jung LEE ; Hyo Sang HAN ; Jae Hong SANG ; Young Sun KIM
Obstetrics & Gynecology Science 2015;58(1):69-72
Symptoms of a peritoneal progression from ovarian cancer are nonspecific such as abdominal pain, abdominal distention and more. Many imaging studies and serum CA-125 help diagnosis. However, it is difficult to exclude the instances of the diffuse peritoneal diseases that mimic carcinomatosis. The elevated CA-125 level usually correlates with the peritoneal carcimatosis, but it is often found in other peritoneal diseases. Therefore, the pathologic confirmation is necessary because of other mimicking diseases. In our case, CA-125 levels were elevated. Abdominal computed tomography finding was suspected a peritoneal tuberculosis but the pathologic result was the peritoneal carcimatosis, eventually.
Abdominal Pain
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Carcinoma*
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Diagnosis
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Ovarian Neoplasms
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Peritoneal Diseases
;
Peritonitis, Tuberculous*
9.Two cases of peritoneal tuberculosis mimicking ovarian carcinoma diagnosed with laparoscopy.
Seung Mi LEE ; Wonjeong YOO ; Hye Jin KIM ; Chong Woo YOO ; Sang Yoon PARK ; Sang Soo SEO
Korean Journal of Obstetrics and Gynecology 2006;49(8):1788-1794
Peritoneal tuberculosis is a rare presentation of tuberculosis. The presenting signs and symptoms, imaging examinations and CA-125 status in peritoneal tuberculosis sometimes resemble that of ovarian cancer. Thus, the possibility of peritoneal tuberculosis should be considered in the differential diagnosis of ovarian carcinoma. We report two cases of peritoneal tuberculosis initially suspected as ovarian carcinoma but diagnosed as peritoneal tuberculosis with laparoscopy. Using diagnostic laparoscopy unnecessary laparotomy was avoided. We suggest that diagnostic laparoscopy can be helpful in differential diagnosis between peritoneal tuberculosis and ovarian carcinoma.
Diagnosis, Differential
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Laparoscopy*
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Laparotomy
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Ovarian Neoplasms
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Peritonitis, Tuberculous*
;
Tuberculosis
10.A Case of Tuberculous Peritonitis in a Patient with Ankylosing Spondylitis during Infliximab Therapy.
Jin Young KANG ; Sung Hwan PARK ; Seung Ki KWOK
Korean Journal of Medicine 2015;89(5):593-597
Infliximab is a chimeric monoclonal antibody against tumor necrosis factor-alpha (TNF-alpha) that is used to treat chronic inflammatory diseases such as ankylosing spondylitis (AS). Side effects include greater susceptibility to severe infections, such as tuberculosis. Positive diagnosis of tuberculous infections, such as tuberculous peritonitis, are often difficult due to the nonspecific nature of symptoms and the rarity of the infection, with definitive diagnoses requiring either a positive culture or histological biopsy. Here, we describe a case of tuberculous peritonitis during infliximab therapy in a 71-year-old man with AS; the disease was confirmed via histopathological examination.
Aged
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Biopsy
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Diagnosis
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Humans
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Peritonitis
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Peritonitis, Tuberculous*
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Spondylitis, Ankylosing*
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Tuberculosis
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Tumor Necrosis Factor-alpha
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Infliximab