Video Experimental Relacionado

Updated: Jan 8, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

Absceso tuberculoso intraperitoneal que imita una masa parayeyunal: reporte de un caso y revisión de la literatura

Wenting Li¹, Zhikai Zhao², Wei Sha¹

¹Department of Tuberculosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, People's Republic of China.

|December 23, 2025

Abstracto

Rationale:

Early diagnosis of abdominal tuberculosis is challenging due to its diverse manifestations. We report a rare case of an intraperitoneal tuberculous abscess that mimicked a tumor, aiming to raise clinical vigilance against abdominal tuberculosis with atypical manifestations.

Patient Concerns:

A 50-year-old man presented with a 1-month history of abdominal pain.

Diagnoses:

Computed tomography imaging demonstrated a multiseptated, peripherally enhancing hypodense mass abutting the gastric greater curvature, initially suspected to be a gastrointestinal stromal tumor. Exploratory laparotomy uncovered a pus-filled mass attached to the gastric fundus. Histopathological examination of the biopsy specimens showed necrotizing granulomas. Polymerase chain reaction assays detected Mycobacterium tuberculosis DNA in the specimens. Thus, the diagnosis was determined as abdominal tuberculosis complicating an intraperitoneal tuberculous abscess.

Interventions:

The patient was treated with antituberculosis therapy after diagnosis.

Outcomes:

The patient reported stable clinical status with no adverse effects during follow-ups.

Lessons:

Tuberculosis should be included in the differential diagnosis of intraperitoneal masses to avoid misdiagnosis and unnecessary interventions, particularly in high-TB-burden countries. Diagnosis is based on a multimodal diagnostic approach consisting of clinical manifestations, radiographic, histopathological and microbiological evidence.

Palabras clave:

Mycobacterium tuberculosis Tomografía computarizada de rayos X absceso abdominal reportes de casos errores diagnósticos peritoneo tomografía

Más Videos Relacionados

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

Videos de Conceptos Relacionados

Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Pulmonary Tuberculosis III

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.