Year 2023 / Volume 115 / Number 10
Letter
Doomed for carcinomatosis? An unusual presentation of abdominal tuberculosis

594

DOI: 10.17235/reed.2023.9855/2023

Bárbara Morão, Catarina Fidalgo, Rui Loureiro, Luisa Glória,

Abstract
A 35-year old male from Brazil presented with intermittent abdominal pain. Abdominal computed tomography revealed a nodule adjacent to splenic hilum and multiple abdominal nodules, suspicious of carcinomatosis. The patient underwent gastroscopy and endoscopic ultrasound (EUS), that revealed an ill-defined hypoechogenic lesion adjacent to the spleen and two hypoechogenic subepithelial lesions located in the 4th layer of the stomach and duodenal bulb. Biopsies revealed non-necrotizing granulomatous inflammation with multinucleated giant cells. Soon after, a 18cm palpable mass within the rectus abdominis muscle was identified, and the biopsy was positive for Mycobacterium tuberculosis DNA, confirming the diagnosis of disseminated abdominal tuberculosis.
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References
1. Haluk Eraksoy. Gastrointestinal and Abdominal Tuberculosis. Gastroenterol Clin N Am. 2021;50:341–360.
2. Jin Wenting, Ma Yuyan, Shi Qingfeng, et al. Clinical features and diagnostic approaches for abdominal tuberculosis: five-year experience from a non-tuberculosis-designated hospital in China. Rev Esp Enferm Dig. 2022;114(8):461-467. DOI: 10.17235/reed.2021.8022/2021
3. Ruxandra Calin, Anna Belkacem, Pauline Caraux-Paz, et al. Abdominal Tuberculosis: Experience from Two Tertiary-Care Hospitals in the Paris Region. Am J Trop Med Hyg. 2021;104(1):223–228.
4. Arkadeep Dhali, Kausik Das, Gopal Krishna Dhali, et al. Abdominal Tuberculosis: Clinical Profile and Outcome. Int J Mycobacteriol. 2022;10(4):414-420.
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Morão B, Fidalgo C, Loureiro R, Glória L. Doomed for carcinomatosis? An unusual presentation of abdominal tuberculosis. 9855/2023


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Publication history

Received: 18/07/2023

Accepted: 24/07/2023

Online First: 04/08/2023

Published: 09/10/2023

Article Online First time: 17 days

Article editing time: 83 days


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