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[Tuberculous abdominal mass: a case report].

N Kawai, K Taniike, M Ohmura

Rinsho Hoshasen. Clinical Radiography

|September 1, 1989

Summary

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Abdominal mass with calcification was diagnosed as tuberculous granulomas. This finding highlights tuberculosis as a cause of abdominal masses and portal vein compression.

Area of Science:

Gastroenterology
Radiology
Pathology

Background:

Abdominal masses can present with varied etiologies.
Portal vein compression can lead to significant clinical complications.

Observation:

A 64-year-old female presented with a 5 x 4.5 cm abdominal mass at the porta hepatis exhibiting an acoustic shadow on ultrasonography.
Computed tomography (CT) revealed peripheral calcification of the mass, causing compression of the portal vein.
Enlarged left gastric lymph nodes showed ring-like enhancement.

Findings:

Exploratory laparotomy confirmed the presence of tuberculous granulomas within the mass and lymph nodes.
The imaging findings, including calcification and ring enhancement, were indicative of a granulomatous process.

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Implications:

This case underscores the importance of considering tuberculosis in the differential diagnosis of abdominal masses, particularly those with calcification and lymphadenopathy.
Tuberculosis can manifest as a space-occupying lesion compressing vital structures like the portal vein.
Accurate diagnosis through histopathology is crucial for appropriate management of abdominal tuberculosis.