Indication for peritoneal biopsy in tuberculous peritonitis

Am J Surg. 2003 Jun;185(6):567-73. doi: 10.1016/s0002-9610(03)00079-5.


Background: With the introduction of effective antituberculous chemotherapy, the clinical outcome of tuberculous peritonitis depends much on the diagnostic accuracy of this disease entity. This review summarizes the current state-of-the-art thinking regarding the protean manifestation and diagnostic modalities of this major infectious disease.

Data sources: This review was compiled after an extensive search of the current and historical literature, comprising 1,070 cases of tuberculous peritonitis. A number of important areas were highlighted, with emphasis on the diagnostic value and clinical impact of peritoneal biopsy.

Conclusions: We believe an aggressive diagnostic approach, particularly with peritoneal biopsy, is warranted for the diagnosis and timely treatment of tuberculous peritonitis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Biopsy, Needle
  • Diagnosis, Differential
  • Humans
  • Mycobacterium tuberculosis / isolation & purification
  • Peritoneum / microbiology
  • Peritoneum / pathology*
  • Peritonitis, Tuberculous / drug therapy
  • Peritonitis, Tuberculous / pathology*


  • Antitubercular Agents