Clinical Observation on 140 Cases of Tuberculous Peritonitis

Paik, Nam Jong; Yoon, Yeong Suk; Park, Chong Jin; Kim, Hoon Kyo; Park, Sung Hak; Hong, Soon Cho; Kim, Ki Ho; Byun, Hae Won

doi:1978.25.1.1

Tuberc Respir Dis > Volume 25(1); 1978 > Article

Original Article

Tuberculosis and Respiratory Diseases 1978;25(1):1-6.
DOI: https://doi.org/10.4046/trd.1978.25.1.1 Published online March 1, 1978.

Clinical Observation on 140 Cases of Tuberculous Peritonitis

Nam Jong Paik, Yeong Suk Yoon, Chong Jin Park, Hoon Kyo Kim, Sung Hak Park, Soon Cho Hong, Ki Ho Kim, Hae Won Byun

Dept. Internal Medicine, Catholic Medical College, Seoul, Korea

결핵성 복막염 (140예)에 대한 임상적 고찰

백남종, 윤영석, 박중진, 김훈교, 박성학, 홍순조, 김기호, 변해원

Abstract

Clinical observation was perfoimed on 140 cases of tuberculous peritonitis confirmed by laparotomy, peritoneal needle biopsy, or response to anti-tuberculous therapy from 1972 to 1976 at St. Mary’s hospital, St. Paul’s hospital and St. Vincent’s hospital. The following results were obtained. 1. The male sex ratio was 1:3. 7, and peak incidence of age was 21-30 years. 2. The mean hemoglobin was 10.7 Gm/ dl, and the white cell counts were normal ranges in, peripheral blood. 3. Total serum protein was 6. 63 Gm/ dl (Albumin 3. 16, Globumin 3.47), and also showed mild hypoalbuminemia. The ascites revealed the characteris tics of exudate, which contained mean protein 4.17 Gm/dl, whitecell counts 1309/mm³ , of which Iymphocytes were dominant. 5. Combined diseases with this tuberculous peritonitis were; intestinal tuberculosis 38 cases, pulmonary tuberculosis 38 cases, tuberculous pleuurisy 15 cases, tuberculous salphingitis 6cases, and others 3 cases. 6. The diagnostic accuracy of peritoneal needle biopsy was 57.3% and it may be the most accurate methode except laparatomy. 7. The most common subject symptoms were abdo minal distension and pain. 8. There was no correlation between serum albumin and protein concentration in ascites. 9. There was also no relatioship between periperal Iymphocytesand ascitic lymphocytes.