Tuberculosis Peritonitis after Spontaneous Abortion: A Case Report

Tuberculosis (TB) is a significant problem worldwide. The rate of active tuberculosis in pregnancy is rising and it is a significant cause of maternal mortality during pregnancy. This study is about a young woman who was suffering from TB peritonitis, which is rare, with a highly progressive clinical course following the spontaneous abortion of 16-week gestation that refers to abdominal pain. Our case received a diagnostic laparotomy that showed several small-scale implants on the peritoneum and viscera. Histopathology revealed chronic caseating granulomas with necrosis. With the possible diagnosis of tubercu-losis anti-mycobacterial therapy was started and she received these drugs for 6 months. The patient’s clinical manifestations completely disappeared and the chest CT scan was normal after treatment. The diagnosis of peritoneal tuberculosis is challenging and it could be made by CT imaging, explorative laparoscopy, evaluation of biopsies from specimens and culture, or PCR from ascites fluid or infected tissues.