August 1944


Author Affiliations

From the Department of Radiology, Massachusetts General Hospital.

Arch Surg. 1944;49(2):91-99. doi:10.1001/archsurg.1944.01230020096003

Most authorities agree that the clinical diagnosis of tuberculous peritonitis is difficult.1 The roentgenologic features of this disease were reported by Ritvo2 and Soper3 in their studies of the small intestine. Schatzki4 likewise found an abnormal small intestinal pattern accompanying this disease. Since his investigation particular attention has been paid at the Massachusetts General Hospital to the possibility of establishing by roentgen examination a preoperative diagnosis; the condition of 3 patients who were admitted to the hospital subsequently was correctly diagnosed by the examining radiologist. The present paper presents these 3 cases and 3 additional proved cases of tuberculous peritonitis in which complete roentgenologic study of the large and the small bowel revealed certain characteristics.

Infection of the peritoneal surfaces with the tubercle bacillus may be divided into two main types, acute and chronic. The acute type may be further divided into two forms: (a) acute

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