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Sonographic Features of Female Pelvic Tuberculous Peritonitis
Author(s) -
Tongsong Theera,
Sukpan Kornkanok,
Wanapirak Chanane,
Sirichotiyakul Supatra,
Tongprasert Fuanglada
Publication year - 2007
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2007.26.1.77
Subject(s) - medicine , ascites , thickening , radiology , peritonitis , abscess , adnexal diseases , tuberculosis , surgery , pathology , laparoscopy , chemistry , polymer science
Objectives The purpose of this study was to evaluate the sonographic features of tuberculous peritonitis in an attempt to facilitate the recognition of this disorder preoperatively. Methods The sonographic findings of 16 patients who had tuberculous peritonitis were reviewed. Results The sonographic findings showed that 14 of the 16 patients had ascites; 10 of these had fine, complete and incomplete mobile septations. Of these 10 patients, 4 had ascites with a latticelike appearance, and 2 had ascites with a parallel violin string appearance, which to our knowledge has not been described previously; 3 had particulate ascites. Peritoneal and omental thickening or nodules were identified in 9 patients. Two patients showed bilateral complex adnexal masses with multiloculated fluid with a thick wall‐like tubo‐ovarian abscess. Conclusions Tuberculous peritonitis seems to have characteristic sonographic features, especially the findings of peritoneal and omental thickening and ascites with fine, mobile septations. These sonographic findings may provide valuable information to help with further investigations and may prevent unnecessary laparotomies.