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Parietal Wall Abscess Perforating to Transverse Colon: A Rare Presentation
Sudeepta Kumar Swain1, Dinesh Zirpe2, Somak Das3
1Consultant, Department of Surgical Gastroenterology, Apollo Hospital, Chennai, Tamil Nadu, India.
Journal of Clinical and Diagnostic Research : JCDR
|June 30, 2017
Summary
This case report details a rare instance of abdominal wall tuberculosis in a 57-year-old female. The tubercular abscess perforated into the transverse colon, a complication previously unreported.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Abdominal Imaging
Background:
- Extrapulmonary tuberculosis (TB) commonly affects lymph nodes, often secondary to pulmonary involvement.
- Primary extrapulmonary TB involving the abdominal wall is exceptionally rare.
- Abscess formation and perforation into the large bowel represent an unusual complication of abdominal wall TB.
Observation:
- A 57-year-old female presented with a four-month history of upper abdominal pain.
- Computed Tomography (CT) scan and intraoperative findings indicated an anterior abdominal wall abscess.
- The abscess was observed to have perforated into the transverse colon.
Findings:
- Histopathology confirmed the abscess was of tubercular origin.
- The case highlights a unique presentation of extrapulmonary TB with gastrointestinal tract involvement.
- Diagnosis was supported by both imaging and histological examination.
Implications:
- This case expands the spectrum of known extrapulmonary TB presentations.
- Highlights the importance of considering TB in the differential diagnosis of abdominal wall masses, especially in endemic areas.
- Suggests a need for increased awareness among clinicians regarding rare complications of abdominal wall tuberculosis.
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