Peritoneal Tuberculosis in Young Libyan Female: A Clinical Case

Ramadan Sarrab; Keria Sheha; Abdalmonem Majbar

doi:10.54361/ljmr.18.2.12

Authors

Ramadan Sarrab Pediatrics Department, Al jmyal General Hospital, Al jmyal, Libya. Author
Keria H. Sheha Al jmayl High Institute of Medical Science, Al jmyal, Libya Author
Abdalmonem Majbar . Pediatrics Department, Al jmyal General Hospital, Al jmyal, Libya. Author

DOI:

https://doi.org/10.54361/ljmr.18.2.12

Keywords:

Tuberculosis, Peritoneal tuberculosis, Tuberculous peritonitis, Imaging, Diagnosis, Magnetic resonance imaging

Abstract

Tuberculous peritonitis is a rare extrapulmonary manifestation of Mycobacterium TB infection, typically characterized by
modest, nonspecific symptoms. As a result, diagnosis is complex, arduous, and sometimes delayed, especially in pediatric
patients lacking a definitive history of pathogen exposure. This report details a 14-year-old Libyan girl with recurrent
widespread stomach discomfort, fatigue, and irregular menstruation. Magnetic resonance imaging revealed diffuse nodules
and thickening in the visceral and parietal peritoneum. Numerous white miliary nodules were visible in the parietal
peritoneum after laparoscopic inspection. Following a peritoneal biopsy, large, poorly formed granulomas were seen,
along with clusters of lymphocytes, epithelioid histiocytes, and giant cells.

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