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Video-Assisted Thoracoscopic Surgery (VATS) in Pregnant Patient With Tuberculosis: A Case Report
Dragan Rakanovic1,2, Suzana Sobot Novakovic1,2, Marko Kantar3
1Clinic for Anesthesiology and Intensive Therapy, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.
Cureus
|September 27, 2024
Summary
Diagnosing tuberculosis (TB) in pregnancy is difficult due to atypical symptoms and insensitive tests. Video-assisted thoracoscopic surgery (VATS) pleural biopsy confirmed TB in a pregnant patient with empyema.
Area of Science:
- Pulmonology
- Obstetrics
- Infectious Diseases
Background:
- Tuberculosis (TB) diagnosis in pregnancy presents unique challenges.
- Standard diagnostic tests for TB lack sensitivity in pregnant individuals.
- TB during pregnancy can lead to severe obstetric and neonatal complications.
Observation:
- A pregnant patient at 20 weeks gestation presented with symptoms suggestive of TB.
- Initial serological, microbiological, and molecular TB tests were negative.
- Radiological findings revealed pneumonia with pleural effusion, progressing to empyema.
Findings:
- Video-assisted thoracoscopic surgery (VATS) debridement was performed due to empyema.
- A VATS pleural biopsy definitively confirmed the diagnosis of tuberculosis.
- This case highlights the diagnostic difficulties and management of TB in pregnancy.
Implications:
- Empyema is a serious complication of tuberculous pneumonia in pregnant patients.
- VATS is an effective surgical intervention for managing empyema in pregnancy.
- Improved diagnostic strategies are needed for early TB detection in pregnant women.
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