Intra-abdominal tuberculous peritonitis

Abstract

We report the case of a 15-year-old boy suffering from progressive dyspnea on exertion and painful abdominal protrusion. Final diagnosis of intra-abdominal tuberculosis (TB), including lymphadenopathy and abdominal abscess formation, was made following elective laparotomy. This type of disease is a rare manifestation of extrapulmonary tuberculosis. The imaging findings in unenhanced and contrast-enhanced MRI and laparoscopic images are presented. Differential diagnosis of abdominal abscess formation and other fungal or bacteriological infections, as well as the imaging findings of this type of lesion, are discussed. This case demonstrates that atypical manifestation of TB may remain unrecognized; thus, awareness of this kind of manifestation of tuberculosis may prevent patients from being subjected to inappropriate therapies.

Acute isolated tuberculous appendicitis

“…about 25% in England and Wales), and about 17% in the USA (3–5). Published reports on cases of non‐pulmonary tuberculosis affecting different tissues appear regularly in the international medical press including the Polish medical press (1, 5–9). The present case affected the alimentary system.…”