Atypical form of peritoneal tuberculosis

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Published Sep 7, 2018
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Vol. 96 No. 5 (2018): Issue May 2018

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Wejih Dougaz
Mehdi Khalfallah
Hichem Jerraya
Ramzi Nouira
Ibtissem Bouasker
Chadli Dziri

Abstract

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.

Keywords:

Tuberculosis, Extra pulmonary location, peritoneum, cutaneous fistula

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