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Korean Journal of Obstetrics & Gynecology 2002;45(11):1961-1965.
Published online November 1, 2002.
Clinical Study of Tuberculous Peritonitis.
Nam Sik Ku, Eun Kyung Park, Sang Woo Lyu, Sung Jong Lee, Chae Chun Rhim, Sung Eun Namkoong
Department of Obstetrics and Gynecology, Catholic University Medical College, Seoul, Korea.
The aim of this study is to evaluate the clinicopathologic characteristics of tuberculous peritontitis from calcinomatosis peritonei. METHODS: From July 1994 to May 2002, fifteen women who were diagnosed tuberculous peritonitis in Kangnam St. Mary's Hospital were analyzed. We reviewed their medical records. RESULTS: A total of 15 patients eventually diagnosed by pathological or bacteriological method were reveiwed. Five patients were taken explorative lapartomy and biopsy. Eight patiets were taken laparoscopy and biopsy. One patient shows M. tubcerculous only cutured in ascites. One patient with cervical lyhphadenopathy shows chronic granuloma on cervical lymph node. CONCLUSION: Tuberculous peritonitis needs differential diagnosis with ovarian cancer because of its vague symptoms as ascites, abdominal pain and fever. Since there is no specific and sensitive method, at present, an explorative laparotomy or pelviscopic surgery can be alternatives for differetial diagnosis between tuberculous peritonitis and ovarian cancer.
Key Words: tuberculous peritonitis

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