Tuberculous Peritonitis Complicated With Incomplete Intestinal Obstruction: A Case Report And Review Of The Literature

OBJECTIVE:To summarize the experience in diagnosis and treatment of tuberculous peritonitis presenting as incomplete intestinal obstruction and discuss the clinical characteristics.METHODS:A medical records about tuberculous peritonitis concurrent incomplete intestinal obstruction was analyzed retrospectively and the literature was reviewed. DESIGN:Case report.PATIENT(S):A 28-year-old male patient was admitted to our hospital complaining of abdominal pain, abdominal distension, loss of appetite and fatigue in the initial process, intermediate appeared obstruction and persistent fever, later appeared intestinal perforation and abdominal abscess formation. INTERVENTION(S):With anti-tuberculosis therapy unvaluable, an abdominal abscess incision and drainage, a local tissue biopsies and celiac intraoperative washing drainage were performed. RESULT(S):Acid-fast bacilli were obtained by acid-fast stain from chronic granulomatous inflammation tissues. The diagnosis of tuberculous peritonitis was confirmed. CONCLUSION(S):Tuberculous peritonitis should be considered in those young patients with unexplained intestinal obstruction. If a medical treatment against tuberculous peritonitis complications failed, surgery should be performed as earlier as possible.