Peritoneal tuberculosis with a frozen abdomen in an adolescent female: A case report

Faustine James, Irene Kimeu, David Jalloh, Rose Kosgei
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 Case presentation: A 19-year-old female presented to the gynecological oncology clinic with a two-month history of generalized abdominal pain and progressive abdominal distention. An abdominopelvic computed tomography scan revealed a cystic right adnexal lesion with massive simple ascites. A frozen abdomen was noted during exploratory laparotomy. Histological examination of the peritoneal biopsy reported granulomatous nodules with numerous epithelioid histiocytes. Postoperatively, she was managed with rifampicin, isoniazid, pyrazinamide, ethambutol, and pyridoxine for six months and recovered fully. 
 Conclusion: Peritoneal tuberculosis may mimic ovarian and peritoneal malignancies. A high suspicion index of peritoneal tuberculosis should be entertained in patients presenting with nonspecific symptoms of ovarian or peritoneal cancers.","PeriodicalId":85009,"journal":{"name":"Journal of obstetrics & gynaecology of Eastern and Central Africa","volume":"7 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of obstetrics & gynaecology of Eastern and Central Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.59692/jogeca.v35i2.51","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract

Background: Peritoneal tuberculosis is a rare form of extrapulmonary tuberculosis, which can result from the reactivation of latent foci in the peritoneal cavity. Case presentation: A 19-year-old female presented to the gynecological oncology clinic with a two-month history of generalized abdominal pain and progressive abdominal distention. An abdominopelvic computed tomography scan revealed a cystic right adnexal lesion with massive simple ascites. A frozen abdomen was noted during exploratory laparotomy. Histological examination of the peritoneal biopsy reported granulomatous nodules with numerous epithelioid histiocytes. Postoperatively, she was managed with rifampicin, isoniazid, pyrazinamide, ethambutol, and pyridoxine for six months and recovered fully. Conclusion: Peritoneal tuberculosis may mimic ovarian and peritoneal malignancies. A high suspicion index of peritoneal tuberculosis should be entertained in patients presenting with nonspecific symptoms of ovarian or peritoneal cancers.
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青春期女性腹膜结核伴冰冻腹部1例报告
背景:腹膜结核是一种罕见的肺外结核,可由腹膜腔内潜伏灶的再激活引起。& # x0D;病例介绍:一名19岁女性,以2个月的广泛性腹痛和进行性腹胀就诊于妇科肿瘤诊所。腹腔计算机断层扫描显示右侧附件囊性病变伴大量单纯性腹水。剖腹探查时发现腹部结冰。腹膜活检组织学检查报告肉芽肿结节伴大量上皮样组织细胞。术后给予利福平、异烟肼、吡嗪酰胺、乙胺丁醇、吡哆醇治疗6个月,完全恢复。& # x0D;结论:腹膜结核可能与卵巢和腹膜恶性肿瘤相似。有卵巢癌或腹膜癌非特异性症状的患者应高度怀疑腹膜结核。
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