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8/9/2019 The Peritoneum the Peritoneal Cavity is a Closed Sac Lined by Mesothelial Cells
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THE PERITONEUMThe peritoneal cavity is a closed sac lined by mesothelial cells, which produce surfactantthat acts as a lubricant within the peritoneal cavity. The cavity contains
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8/9/2019 The Peritoneum the Peritoneal Cavity is a Closed Sac Lined by Mesothelial Cells
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A rare condition, there is a marked fibrosis over the post. abdominal wall and retroperitoneum.
Tuberculous peritonitis
This is the second most common form of abdominal TB.
Three subgroups can be identified: wet, dry and fibrous.
1. Thewettype. Ascitic fluid should be examined forprotein concentration (> 20 g/L) andtubercle bacilli (rarely found).
2. Thedryform. Present with subacute intestinalobstruction due to adhesions.
3. Thefibrous form. Present with abdominal pain, distension andill-defined irregular tender abdominalmasses.
The diagnosis is by ultrasound or CT screening (mesenteric thickening and lymph nodeenlargement). A histological diagnosis is not always required before instituting treatment.
Treatment is similar to that for pulmonary TB.