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03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Primary tuberculosis appendicitis with mesenteric mass
So-Hyun Nam1, Jin Soo Kim, Ki Hoon Kim
1Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.
Journal of the Korean Surgical Society
|April 12, 2012
Summary
Primary tuberculosis of the appendix is a rare condition. This case report details a 14-year-old boy diagnosed with appendiceal tuberculosis after presenting with abdominal pain.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Appendiceal tuberculosis is an exceedingly rare manifestation of Mycobacterium tuberculosis infection.
- It often presents insidiously, mimicking common surgical conditions like appendicitis, leading to diagnostic challenges.
Observation:
- A 14-year-old male presented with right lower quadrant abdominal pain.
- Computed tomography revealed a distended appendix with a significant mass and no signs of active pulmonary tuberculosis or bowel thickening.
Findings:
- Laparoscopic appendectomy with mass excision was performed.
- Histopathology confirmed chronic granulomatous inflammation with caseous necrosis, indicative of tuberculosis.
Implications:
- This case highlights the importance of considering tuberculosis in the differential diagnosis of appendiceal masses, especially in endemic areas.
- Early diagnosis and appropriate anti-tuberculosis treatment are crucial for favorable outcomes in primary appendiceal tuberculosis.
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