A Large Tuberculous Abscess Mimicking an Abdomino-pelvic Cystic Mass: A Case Report
Case Report
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DOI:
https://doi.org/10.58372/2835-6276.1145Keywords:
Tuberculous abscess, Abdomino-pelvic cystic mass, Abdominal tuberculosisAbstract
Introduction: Tuberculosis can involve any part of the gastrointestinal tract or the peritoneum and is the sixth most frequent site of extrapulmonary involvement. The pseudotumoral form is relatively rare and several predisposing factors are mentioned, a significant differential diagnostic problem with malignant tumor pathology is exposed , often considered first when encountering an abdominal or pelvic mass in the context of overall deterioration.
Presentation of case: We report a rare case of a huge retroperitoneal TB abscess mimicking an abdomino-pelvic cystic mass.
Discussion: Abdominal tuberculosis represents 1 to 2% of all locations and 31 to 58% of abdominal locations. The pseudotumoral form is relatively rare and are uncommon in immunocompetent patients. Tuberculosis abscess can present with variable radiologic features. It is difficult to differentiate it from malignant pathologies. Invasive explorations, such as laparoscopy or laparotomy, play a crucial role in confirming the diagnosis. Peritoneal cavity exploration may reveal whitish granulations, peritoneal nodules, peritoneal hyperemia, filamentous peritoneal adhesions, and intestinal adhesions. Histological examination of biopsies are the key to the diagnosis. The treatment of peritoneal tuberculosis relies on a combined therapy of antitubercular drugs .
Conclusion: As TB remains endemic in our country and with the continued increase in multidrug-resistant TB infections, it is important to know various presentations and diagnosis forms features of extrapulmonary TB including TB abscess as the treatment remains basically the same combining anti-tuberculosis drugs and the recourse to surgery.
References
Ministère de la Santé Publique. Royaume du Maroc. Le nouveau programme national de lutte antituberculeuse; 1990.
Kwon YS, Koh WJ. Diagnosis of pulmonary tuberculosis and nontuberculous mycobacterial lung disease in Korea. Tuberc Respir Dis (Seoul) 2014;77:1-5
Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician 2005;72:1761-1768
Barbalinardo RJ, Hamilton GB, Eliot GR, Lazaro EJ, Haycock C. Tuberculous retroperitoneal lymphadenopathy mimicking metastatic pancreatic carcinoma. J Natl Med Assoc 1986;78:385-387
Lantheaume S, Soler S, Issartel B, Isch JF, Lacassin F, Rougier Y et al. Tuberculose péritonéale disséminée simulant un cancer de l´ovaire: à propos d´un cas. Gynécologie Obstétrique et Fertilité. 2003; 31(7-8): 624-626.
Abdallah M, Larbi T, Hamzaoui S, Mezlini E, Harmel A, Ennafaa M et al. Tuberculose abdominale: étude retrospective de 90 cas. La revue de medecine interne. 2011 Apr;32(4): 212-7
Amouri A, Boudabbous M, Mnif L, Tahri N. Profil actuel de la tuberculose péritonéale: étude d´une série tunisienne de 42 cas et revue de la littérature. La revue de médecine interne. 2009; 30: 215-220.
Saadi H, Mamouni M, Errarhay S, Bouchikhi C, Banani A, Ammor H et al. Tuberculose pelvipéritonéale pseudotumorale: à propos de quatre cas. Pan African Medical Journal. 2012; 13: 52.
Capron J, Lafont C, Grateau G, Steichen O. Diagnostic non invasif d´une tuberculose péritonéale. La revue de médecine interne. 2010 Dec;31(12): e10-1.
Gobert D, Lidove O, Sicre de Fontbrune F, Peltier J, Chedid K, Burnat P et al. Le dosage d´adénosine désaminase est utile pour le diagnostic de tuberculose péritonéale chez le patient dialysé. La revue de médecine interne. 2007; 28: 507-509.
Grunenberger F, Schmitt V, Patry I, Buy X, Chenard MP, Schlienger JL et al. Recherche d´une tuberculose par Quantiferon et lymphome non Hodgkinien. La revue de médecine interne. 2009; 30(supplement 2): S77-S151.
En-Nouali H, Seddik H, Elghari M, Salaheddine T. Masse abdominale dans un contexte fébrile. Feuillets de Radiologie. 2008; 48(1): 45-48.
Hablani N, Souei Mhiri M, Tlili Graies K, Jemni Gharbi H, Abdallah S, Bel Hadj Hamida R et al. La tuberculose abdominale pseudotumorale. J Radiol. 2005; 86: 1021-5.
Karoui S, Bibani N, Ouaz A, Serghini M, Chebbi F, Nouira K, et al. Retroperitoneal abscess: a rare localization of tubercular infection. Gastroenterol Res Pract 2010;2010:475130
Epstein BM, Mann JH. CT of abdominal tuberculosis. AJR Am J Roentgenol 1982;139:861-866
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