J Korean Soc Transplant.  2010 Mar;24(1):26-29. 10.4285/jkstn.2010.24.1.26.

A Case of Tuberculous Peritonitis Confirmed by Laparoscopic Biopsy in a Patient Receiving Maintenance Hemodialysis Patient after Renal Transplantation

• Song CS
• Kim H
• Shim CN
• Yoon MY
• Seo MH
• Park W
• Lee JE
• Hur SE
• Lee KB

• KMID: 2202220
• DOI: http://doi.org/10.4285/jkstn.2010.24.1.26

Abstract

Tuberculosis is an opportunistic infection that causes significant morbidity and mortality in recipients of renal transplants. Although tuberculous peritonitis is easily diagnosed by paracentesis, it is difficult to diagnosis in the absence of ascites. Laparotomy and laparoscopic biopsies are needed for the diagnosis of tuberculous peritonitis. According to recent reports, the latter has a better outcome because of fewer associated complications. A case of tuberculous peritonitis in a renal transplant patient is reported that was diagnosed by laparoscopic peritoneal biopsy

Keyword

Tuberculous peritonitis; Renal transplantation; Laparoscopic biopsy

MeSH Terms

Ascites
Biopsy
Humans
Kidney Transplantation
Laparotomy
Opportunistic Infections
Paracentesis
Peritonitis, Tuberculous
Renal Dialysis
Transplants
Tuberculosis

Figure

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  Fig. 1. Chest radiograph shows pleural effusion in both lung fields.

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  Fig. 2. APCT shows a possible infectious condition such as tuberculosis peritonitis or spontaneous bacterial peritonitis. It shows also large amount of ascites, multiple enlarged lymph nodes in left paraaortic area and mesentery. Abbreviations: APCT, abdominal pelvic computerized tomography.

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  Fig. 3. Diffuse spreaded miliary nodules were showed on laparoscopic finding.

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  Fig. 4. Chronic granulomatous inflammation consistent with tuberculous peritonitis was showed in biopsy of peritoneum (HE stain, ×400).

Reference

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