Özet:

Tuberculosis is still a major health problem in developing countries today. Tuberculosis peritonitis is a subacute prevalent disease and patients can apply to non-specific symptoms such as stomach pain and swelling in the stomach. This article presents the fact that the cause of suddenly developing swelling in the abdomen and the laparoscopic examination results in the diagnosis of tuberculosis peritonitis. A 12-year-old girl was brought to the hospital with a sudden inflammation in her early womb. In the physical examination, pathology was not detected in other systems in both lungs of the appearing breathing and pleasant phenomenon, except the reduction of respiratory sounds. In the acute stages of the height and in the western ultrasound of the common acid cause in the parasenthesic fluid, the color bleach, protein was detected. The absence of atypical cells, PPD, Quantiferon negative, serum CA-125 is high due to malignity and tuberculosis distinctive diagnosis overler in the laparoscopic examination of course, but in both tubes is observed clinging and peritoneal placement thickness. The repeated Quantiferon test was positive and high levels of adenosineaminase were found in peritonic fluid. In the histopathological examination of the peritonal biopsy material, chronic granulomatosis inflammation, which indicates caeification necrosis, was detected. There was no detailed family history and screening of tuberculosis. Imaging and histopathological examinations with the diagnosis of tuberculosis peritonitis the incident was sent to the infection clinic and anti-tuberculosis treatment began. In the presence of unexplicable cause of abdominal pain and acid, tuberculosis should first be considered in the conditions of our country and in cases where laboratory examinations are not indicative, laparoscopic examination should be carried out and treatment should be started.

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