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[Abdominal tuberculosis misdiagnosed as tumor]
1Department of Pathology, Medical School of Three Gorges University, Yichang, Hubei Province 443003, China.
Summary
Abdominal tuberculosis (TB) often presents with symptoms mimicking abdominal tumors, leading to misdiagnosis. Early recognition of TB
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pathology
Context:
- Abdominal tuberculosis (TB) is frequently misdiagnosed as malignancy.
- Clinical presentation can obscure the underlying infectious etiology.
Purpose:
- To delineate the clinical and pathological characteristics of abdominal TB.
- To improve diagnostic accuracy and differentiate it from abdominal tumors.
Summary:
- A review of 45 abdominal TB cases revealed common symptoms like abdominal mass, pain, and fever.
- Pathological findings included proliferative and caseous lesions involving the intestine, peritoneum, and lymph nodes.
- Most patients were young females, often misdiagnosed with malignant tumors.
Impact:
- Highlights the need for increased clinical awareness of abdominal TB's varied presentations.
- Suggests exploratory laparotomy with biopsy for suspected cases to ensure timely diagnosis and treatment.
- Aims to reduce diagnostic delays and improve patient outcomes for abdominal TB.