[GH] Tuberculous Peritonitis скачать в хорошем качестве

[GH] Tuberculous Peritonitis

20 Year old girl, nonspecific abdominal pain History of fever Previous tap is negative for TB (although in active state there can be immunosupression which is false negative) Debrinous / septated ascites, indicating exudative component / infective etiology. Thickened / cake-like omentum, with hypoechoic nodules within, suggesting tuberculous peritonitis. Differential is with peritoneal carcinomatosis (e.g metastatic spread of cancers like ovarian, or lymphoma, etc) While there almost always is GIT TB manifestation with this, like ileocecal diffuse wall thickening, it couldnt be discovered sonographically in this patient. So CT Abdomen was advised. Ascitic Tap & Omental Biopsy can also be advised for further workup. Note is made of a hemorrhagic cyst / organized collection in adnexa as well.