Abdominal tuberculosis: an old disease surprising young doctors

Sousa, Marta; Batista, Joana; Pacheco, Patrícia; Nunes, Vítor

doi:10.1136/bcr-2016-216057

Cited by 3 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We report the case that has peritoneal dissemination expressed as multiple enlarged lymph nodes within the cavity. Coincidentally, Sousa MD reported that tuberculosis bore a striking resemblance to malignancy so that a hypothesis of cancer with peritoneal dissemination had been accepted before histopathological analysis showed a tubercular disease [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man

Zhu

Zhang

Wei

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

Pancreatic tuberculosis (TB) is an extremely rare form of extrapulmonary tuberculosis even in endemic areas that masquerades as a mass or inflammation because of lack of typical clinical manifestations and radiologic features and therefore usually misdiagnosed as a pancreatic malignancy or pancreatitis. Here we present a 23-year-old young man with pancreatic tuberculosis mimicking pancreatic head carcinoma A man who suffered from upper abdominal pain and nausea for half a month was admitted to our hospital. Narrow band imaging (NBI) and gastroscopic imaging, together with endoscopic ultrasonography (EUS), revealed a duodenal bulb mucous prominences lesion. Computed tomography (CT) and magnetic resonance imaging (MRI) both suggested a pancreatic mass which resembled a pancreatic head tumor that had a higher risk of malignancy. The patient therefore accepted an exploratory laparotomy and pancreatoduodenectomy, Whipple operation. Biopsies of pancreas, duodenum, lymph nodes, omentum, and adipose tissues were all performed, revealing tuberculosis infection in pancreas, hepatic portal vein infiltration, and peritoneal dissemination. The patient was treated successfully after operation and recovered with standard anti-TB drugs for 6 months. Timely reporting of this rare case can help physicians improve their ability to identify several specific illnesses and diseases that share confusing signs or symptoms clinically and radiographically.

show abstract

Section: Discussionmentioning

confidence: 99%

Pancreatic Tuberculosis with Vascular Involvement and Peritoneal Dissemination in a Young Man

Zhu

Zhang

Wei

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…Tuberculosis can distribute widely to organ system of the body resulting in extrapulmonary tuberculosis represented for about 14% of tuberculosis cases worldwide in 2017 [2]. Extrapulmonary tuberculosis that manifest as abdominal tuberculosis is only 1-3 % of all tuberculosis cases worldwide but untreated abdominal tuberculosis carries significant mortality rate of 60% [3], [4]. There are few reports in the literature describe prevalence of colonic tuberculosis, nevertheless Indonesia is country with third highest tuberculosis burden [5].…”

Section: Introductionmentioning

confidence: 99%

Colonic Tuberculosis Mimicking Ascending Colon Neoplasm: A Case Report

Widyanti¹,

Putra²,

Yaniswari³

et al. 2022

EJMED

View full text Add to dashboard Cite

Tuberculosis is still a worldwide public health concern especially in developing countries. Extrapulmonary tuberculosis including abdominal tuberculosis is known as the great mimicker and usually delayed due to its nonspecific clinical presentation. A-30 years old male patient presented to our hospital with 5-months history of persistent lower right-sided abdominal pain, anorexia, and weight loss. Computed tomography scan of the abdomen suggested malignant mass of ascending colon. Chest x-ray showed suprahilar right lung fibro-infiltrates suggested lung tuberculosis. Colonoscopy was performed which revealed tumor of the hepatica flexure Biopsy was taken from colonoscopy showed non-specific colitis results. Surgery was performed due to suspicious of ascending colon malignancy. Histopathological evaluation of colon biopsy revealed features of caseating granulomas and Langerhans giant cells that consistent with tuberculosis. A diagnosis of colonic tuberculosis was concluded and the patient is treated with anti-tuberculosis drug regimens.

show abstract