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Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma
Tim Fahlbusch1, Beat Künzli2, Renate Schlottmann3
1Department of General and Visceral Surgery, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany. t.fahlbusch@klinikum-bochum.de.
Background:
A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread.
Methods:
Patient's medical history was reprocessed and compared to recent literature via PubMed.
Results:
Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven.
Conclusion:
Symptoms of TB may vary and findings can be misleading. An interdisciplinary approach is needed for diagnosis and treatment.
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