The incidence of tuberculous peritonitis has been decreasing recently, however, it is still an important disease in differential diagnosis.
Four cases of tuberculous peritonitis diagnosed by laparoscopy were reported.
Case 1. Fifty six year old man complained of abdominal distention, fever and anorexia was admitted to Tone Central Hospital. The patient had ascites. Laparoscopy and punch biopsy revealed findings of tuberculous peritonitis.
Case 2. Sixty year old woman. She was suffered from pleurisy at age of 30. A diagnosis of tuberculous peritonitis was established by laparoscopy and punch biopsy.
Case 3. Fourty eight year old housewife who had had an operation of spinal tuberculosis at age of 38 was admitted to the hospital because of fatigue, anorexia and fever.
The laparoscopy revealed changes of tuberculous peritonitis, and granulomas were also found in hepatic biopsy specimen.
Case 4. In 54 year old woman, a diagnosisof tuberculous peritonitis was established by laparoscopy.
All cases showed favourable course by the combination therapy with SM, PAS and INH.
