Journal List > J Korean Soc Transplant > v.24(1) > 1034317

Song, Kim, Shim, Yoon, Seo, Wan, Lee, Hur, and Lee: A Case of Tuberculous Peritonitis Confirmed by Laparoscopic Biopsy in a Patient Receiving Maintenance Hemodialysis Patient after Renal Transplantation

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.

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Fig. 1.
Chest radiograph shows pleural effusion in both lung fields.
jkstn-24-26f1.tif
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.
jkstn-24-26f2.tif
Fig. 3.
Diffuse spreaded miliary nodules were showed on laparoscopic finding.
jkstn-24-26f3.tif
Fig. 4.
Chronic granulomatous inflammation consistent with tuberculous peritonitis was showed in biopsy of peritoneum (HE stain, ×400).
jkstn-24-26f4.tif
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