Case of peritoneal tuberculosis in third trimester of pregnancy

Authors

  • Shaifali Patil Department of Obstetrics and Gynecology, MGM Medical College, Navi Mumbai, Maharashtra, India
  • Soumya Jhawar Department of Obstetrics and Gynecology, MGM Medical College, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231244

Keywords:

Peritoneal tuberculosis, Pregnancy, Third trimester

Abstract

Tuberculous peritonitis is one of the least common forms of extrapulmonary tuberculosis. Tuberculous peritonitis in pregnancy is a diagnostic challenge, especially in the absence of lung involvement. We report a case of peritoneal tuberculosis in a 32-Year-old female, a G2A1 with 30 weeks’ gestation came with chief complaint of profuse clear discharge from the umbilicus. USG abdomen and pelvis was suggestive of 1 cm sized wide hypoechoic track in the umbilical region likely communicating with anterior uterine wall, while MRI Fistulogram was suggestive of Oedematous sinus tract in the cutaneous and subcutaneous plane of the periumbilical anterior abdominal wall with no obvious extension beyond the rectus sheath. Anti-tubercular treatment was started for the patient immediately upon diagnosis. The flow of clear discharge ceased within 2 days and the symptoms resolved in 2 weeks. This case is being presented for the rarity of its occurrence specifically in pregnancy.

References

Lahbabi M, Brini J, Massaoudi K. Tuberculous peritonitis in pregnancy: a case report. J Med Case Rep. 2014;8:3.

Jung S, Yun NR, Kim JO, Lee JH, Kim HY, Song E, et al. Tuberculous peritonitis in the first trimester of pregnancy. Obstet Gynecol Sci. 2017;60(2):218-22.

Lahbabi M, Brini J, Massaoudi K. Tuberculous peritonitis in pregnancy: a case report. J Med Case Rep. 2014;8:3.

Arnoldo R, Mario C, Felipe S, Sebastián V, Alejandro P, Marco A, et al. Value of Adenosine Deaminase (ADA) in Ascitic Fluid for the Diagnosis of Tuberculous Peritonitis: A Meta-analysis. J Clin Gastroenterol. 2006;40(8):705-10.

Bothamley G. Drug treatment for tuberculosis during pregnancy: safety considerations. Drug Saf. 2001;24(7):553-65.

Mittal H, Das S, Faridi MM. Management of newborn infant born to mother suffering from tuberculosis: current recommendations & gaps in knowledge. Indian J Med Res. 2014;140(1):32-9.

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Published

2023-04-28

Issue

Section

Case Reports