Atypical form of peritoneal tuberculosis
Dougaz, W.; Khalfallah, M.; Jerraya, H.; Nouira, R.; Bouasker, I.; Dziri, C.
La Tunisie Medicale 96(5): 321-323
2018
ISSN/ISBN: 0041-4131 PMID: 30430510 Document Number: 696944
It was a 48-year-old woman with a right flank mass. On examination there was a hard and painful mass of the right side, centered by a fistula orifice with a diameter of 5 mm. Abdominal computed tomography showed an intraperitoneal tissue structure in relation to the parietal peritoneum in the left hypochondria. A scanno-guided biopsy was performed. Pathological examination revealed non-specific inflammatory lesions. The evolution was marked by the appearance of a purulent fistula in the puncture site. A biopsy of the margins of the fistulous orifice of the left hypochondria was performed. Pathological examination found a granular infiltrate with caseous necrosis confirming the diagnosis of tuberculosis. The patient was put under anti-tuberculosis treatment with a good clinical and radiological evolution.
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