[Peritoneal tuberculosis: a 16-year review in a general hospital]

Abstract

Introduction: Peritoneal tuberculosis (PT) is a form of abdominal tuberculosis that accounts for 1%-3% of all cases of tuberculous disease and often manifests with non-specific symptoms.

Methods: Cases of PT diagnosed over a period of 16 years are reviewed and the epidemiological, clinical, diagnostic, and outcome data are analyzed.

Results: Among 462 patients with extrapulmonary tuberculosis, PT was documented in 13 patients (2.8%), only one whom was infected by human immunodeficiency virus. In most patients, the diagnosis was established on histological findings. In 5 cases, ascitic fluid culture was positive, and the diagnosis was established by this method alone in 3 of them. A multidrug-resistant Mycobacterium tuberculosis Beijing strain was isolated in one patient. The remaining strains isolated were sensitive to classic antituberculosis drugs. Ten patients were treated with 3 antituberculosis agents and 2 were treated with 4 drugs. Eight patients progressed favorably and 5 died due to complications of their underlying medical conditions.

Conclusion: Peritoneal tuberculosis can develop without evidence of concomitant tuberculous disease. Histology is usually needed to confirm the diagnosis, and the prognosis is good with prompt treatment.