A Case of Tuberculous Peritonitis with Liver Cirrhosis (Type C) Diagnosed by Laparoscopy

Abstract

A 56 years-old male complaining of one month of intermittent fever and abdominal distention was admitted. Ultrasonography and CT scan revealed massive ascites and splenomegaly. Laparoscopy showed cirrhotic liver and numerous yellowish-white nodules on the peritoneum. Tuberculous bacilli were cultured from nodules obtained by biopsy. After starting the administration of anti-tuberculous drugs, the patient became afebrile and ascites disappeared. The second laparoscopy revealed disappearance of nodules. Laparoscopy was useful for the diagnosis and evaluation of the treatment of tuberculous peritonitis in the patient.