TUBERCULUS PERITONITIS
This condition is not uncommon in our country. It is usually
secondary to a lesion of the lung or tubercular disease of the
gastrointestinal tract. In some cases it may be met without any
demonstrable primary disease elsewhere.
In such cases it is possibly due to reactivation of latent
peritoneal tuberculosis which has been established by spread from
a pulmonary focus in the past.
Clinically, it is a slowly progressive disease and may present
with
* Low grade fever
* Anorexia
* Weight loss and
* There may be evidence of free fluid in the peritoneal cavity
with dull diffuse abdominal pain
On examination there is slight tenderness of the abdomen
classically described as a "doughy feel" in cases with
coincidental tubercular disease of the gastrintestinal tract
there may be an evidence of a mass or signs of subacute
obstruction.
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