Radiology Case Reports (Sep 2021)

Peritoneal thickening: It's not always carcinomatosis

  • Amalik Sanae, Resident,
  • El Agouri Hajar, Resident,
  • Khouchoua Selma, Resident,
  • Jerguigue Hounayda, Specialist,
  • Latib Rachida, Professor,
  • El Khannoussi Basma, Professor,
  • Omor Youssef, Professor

Journal volume & issue
Vol. 16, no. 9
pp. 2620 – 2623

Abstract

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The peritoneal pseudotumor localization of tuberculosis is a rare clinical form, representing 1 to 3% of extrapulmonary site of tuberculosis. It represents the sixth most common extra pulmonary site of tuberculosis. It is a great mimicker with major overlapping clinical and imaging features. Differentiating peritoneal tuberculosis and peritoneal carcinomatosis in imaging remains challenging. We present a case of a 37-year old woman complaining of chronic abdominal pain and distension who has been diagnosed to have peritoneal carcinomatosis based on CT findings, histopathological study then revealed necrotizing, granulomatous inflammation consistent with tuberculosis. This case showed the interest to be aware of the common and uncommon imaging features of tuberculosis by radiologists to better assess for alternative differential diagnosis.

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