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Retroperitoneal abscess: a rare localization of tubercular infection.

Karoui S, Bibani N, Ouaz A, Serghini M, Chebbi F, Nouira K, Chelly I, Boubaker J, Ben Safta Z, Menif E, Zitouna M, Filali A - Gastroenterol Res Pract (2010)

Bottom Line: Exploratory laparotomy and histopathological examinations of tissue were required for achieving diagnosis of tuberculosis.No pulmonary or spinal involvement was identified.The patient was successfully treated with standard four-drug antitubercular therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology A, La Rabta Hospital, Tunis, 1007, Tunisia.

ABSTRACT
Incidence of tuberculosis infection has considerably increased during the past 20 years due to the HIV pandemic and continues to be one of the most prevalent and deadly infections worldwide. Extrapulmonary tuberculosis lacks specific clinical manifestation and can mimic many diseases. It can invade neighbouring tissue and form a big cyst with manifesting clinical symptoms. We describe a rare case of 31-year-old immunocompetent man affected by a retroperitoneal abscess secondary to tubercular infection. Exploratory laparotomy and histopathological examinations of tissue were required for achieving diagnosis of tuberculosis. No pulmonary or spinal involvement was identified. The patient was successfully treated with standard four-drug antitubercular therapy.

No MeSH data available.


Related in: MedlinePlus

Histological examinationscore (HES) showing granulomatous inflammation with caseous material.
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Related In: Results  -  Collection


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fig3: Histological examinationscore (HES) showing granulomatous inflammation with caseous material.

Mentions: The histopathological examination showed epitheloid granulomas with necrosis, giant cells, and lymphoepitheloid infiltrate (Figure 3). Culture and polymerase chain reaction of tuberculosis using the surgical specimen were not performed. The diagnosis of retroperitoneal tuberculosis was established. There were not other tuberculosis involvements: computed tomography chest was normal, and MR scan of the spine excluded a spondylodiscitis. HIV test was negative.


Retroperitoneal abscess: a rare localization of tubercular infection.

Karoui S, Bibani N, Ouaz A, Serghini M, Chebbi F, Nouira K, Chelly I, Boubaker J, Ben Safta Z, Menif E, Zitouna M, Filali A - Gastroenterol Res Pract (2010)

Histological examinationscore (HES) showing granulomatous inflammation with caseous material.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2967834&req=5

fig3: Histological examinationscore (HES) showing granulomatous inflammation with caseous material.
Mentions: The histopathological examination showed epitheloid granulomas with necrosis, giant cells, and lymphoepitheloid infiltrate (Figure 3). Culture and polymerase chain reaction of tuberculosis using the surgical specimen were not performed. The diagnosis of retroperitoneal tuberculosis was established. There were not other tuberculosis involvements: computed tomography chest was normal, and MR scan of the spine excluded a spondylodiscitis. HIV test was negative.

Bottom Line: Exploratory laparotomy and histopathological examinations of tissue were required for achieving diagnosis of tuberculosis.No pulmonary or spinal involvement was identified.The patient was successfully treated with standard four-drug antitubercular therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology A, La Rabta Hospital, Tunis, 1007, Tunisia.

ABSTRACT
Incidence of tuberculosis infection has considerably increased during the past 20 years due to the HIV pandemic and continues to be one of the most prevalent and deadly infections worldwide. Extrapulmonary tuberculosis lacks specific clinical manifestation and can mimic many diseases. It can invade neighbouring tissue and form a big cyst with manifesting clinical symptoms. We describe a rare case of 31-year-old immunocompetent man affected by a retroperitoneal abscess secondary to tubercular infection. Exploratory laparotomy and histopathological examinations of tissue were required for achieving diagnosis of tuberculosis. No pulmonary or spinal involvement was identified. The patient was successfully treated with standard four-drug antitubercular therapy.

No MeSH data available.


Related in: MedlinePlus