Tuberculous Peritonitis in a Patient with Primary Biliary Cirrhosis
Author Information
Author(s): Yilin Vogel, Jan C Bous, Guido Winnekendonk, Bernhard F Henning
Primary Institution: Marienhospital, Ruhr University, Herne, Germany
Hypothesis
Is tuberculous peritonitis a possible diagnosis in patients with primary biliary cirrhosis presenting with non-specific symptoms?
Conclusion
Tuberculous peritonitis should be considered in patients with primary biliary cirrhosis who present with non-specific symptoms like abdominal pain and ascites.
Supporting Evidence
- Tuberculous peritonitis is rare in Germany, especially in patients without immunodeficiency.
- The patient's symptoms were initially misattributed to other conditions.
- Ultrasonography and CT scans showed non-specific findings that complicated diagnosis.
- The culture from ascites was positive for M.tuberculosis after three weeks.
Takeaway
This study talks about a 73-year-old woman who had a rare type of tuberculosis in her belly, which can happen even if you don't have other common risk factors.
Methodology
Case report detailing the patient's symptoms, diagnostic imaging, and laboratory findings leading to the diagnosis of tuberculous peritonitis.
Limitations
The diagnosis was complicated by the patient's existing liver condition and the non-specific nature of her symptoms.
Participant Demographics
73-year-old female German patient with a history of primary biliary cirrhosis.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website