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KMID : 0358420170600020218
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 2 p.218 ~ p.222
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Tuberculous peritonitis in the first trimester of pregnancy
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Jung Su-Kyung
Yun Nae-Ri
Kim Jeong-Ok
Lee Jeong-Hoon
Kim Ho-Yeon
Song Eun-Seop
Lee Byoung-Ick
Hwang Sung-Ook
Choi Soo-Ran
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Abstract
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Tuberculous peritonitis in pregnancy is a rare form of extrapulmonary tuberculosis that is not easily diagnosed. The clinical presentations of tuberculous peritonitis are usually non-specific and mimic those of other diseases, such as ovarian malignancy or chronic liver disease, and this non-specificity can cause diagnostic delays and complications. The authors report the case of a 31-year-old primigravida woman who presented with uncontrolled fever, dyspnea, elevated liver enzymes, and mild abdominal distension at 13+2 weeks of gestation. At 14+2 weeks, a therapeutic abortion was conducted and tuberculous peritonitis was confirmed by laparoscopic excisional biopsy of peritoneal nodules and histopathologic examination. The patient recovered on antituberculosis therapy and abdomen and chest follow up radiographic findings have confirmed improvement.
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KEYWORD
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Peritonitis, tuberculous, Pregnancy
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