The Mount Sinai Journal of Medicine

 

Volume 73 Number 8
December 2006
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Tuberculous Peritonitis and Tuberculous Endometritis Diagnosed in the Same Patient by High Clinical Suspicion and a Minimally Invasive Approach 1112-1114
Rajeev L. Narayan, M.D.1, Amitkumar Patel, M.D.1, and Reynard J. McDonald, M.D.1,2

1University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ; and 2 Medical Director, New Jersey Medical School National Tuberculosis Center, International Center for Public Health, Newark, NJ.

Address all correspondence to Rajeev L. Narayan, M.D., 3 Beechwood Road, Irvington, NY 10533; e-mail: Rajeevnarayan@aol.com and address reprint requests to Reynard J. McDonald, M.D., 225 Warren Street, Newark, NJ 07103-3506; e-mail: McDonaRJ@umdnj.edu

Accepted for publication June 2006.

Abstract

Tuberculous peritonitis and tuberculous endometritis are extremely rare entities in the Western world. In this article, we discuss a rare case of a 40-year-old Nigerian female presenting with abdominal pain, distension and secondary amenorrhea, and show that a high clinical suspicion combined with minimally invasive procedures can help physicians make the diagnosis, avoid extensive surgery, and rapidly initiate appropriate therapy.

Key Words

Tuberculous peritonitis, peritoneal tuberculosis, extrapulmonary tuberculosis, minimally invasive approach, tuberculous endometritis


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