Year 2023 / Volume 115 / Number 10
Letter
Doomed for carcinomatosis? An unusual presentation of abdominal tuberculosis

594

DOI: 10.17235/reed.2023.9855/2023

Bárbara Morão, Catarina Fidalgo, Rui Loureiro, Luisa Glória,

Abstract
A 35-year old male from Brazil presented with intermittent abdominal pain. Abdominal computed tomography revealed a nodule adjacent to splenic hilum and multiple abdominal nodules, suspicious of carcinomatosis. The patient underwent gastroscopy and endoscopic ultrasound (EUS), that revealed an ill-defined hypoechogenic lesion adjacent to the spleen and two hypoechogenic subepithelial lesions located in the 4th layer of the stomach and duodenal bulb. Biopsies revealed non-necrotizing granulomatous inflammation with multinucleated giant cells. Soon after, a 18cm palpable mass within the rectus abdominis muscle was identified, and the biopsy was positive for Mycobacterium tuberculosis DNA, confirming the diagnosis of disseminated abdominal tuberculosis.
Share Button
New comment
Comments
No comments for this article
References
1. Haluk Eraksoy. Gastrointestinal and Abdominal Tuberculosis. Gastroenterol Clin N Am. 2021;50:341–360.
2. Jin Wenting, Ma Yuyan, Shi Qingfeng, et al. Clinical features and diagnostic approaches for abdominal tuberculosis: five-year experience from a non-tuberculosis-designated hospital in China. Rev Esp Enferm Dig. 2022;114(8):461-467. DOI: 10.17235/reed.2021.8022/2021
3. Ruxandra Calin, Anna Belkacem, Pauline Caraux-Paz, et al. Abdominal Tuberculosis: Experience from Two Tertiary-Care Hospitals in the Paris Region. Am J Trop Med Hyg. 2021;104(1):223–228.
4. Arkadeep Dhali, Kausik Das, Gopal Krishna Dhali, et al. Abdominal Tuberculosis: Clinical Profile and Outcome. Int J Mycobacteriol. 2022;10(4):414-420.
Related articles

Letter

Duodenal lymphangiomas: endoscopic ultrasound features

DOI: 10.17235/reed.2024.10338/2024

Digestive Diseases Image

Imaging of pancreatic desmoid fibromatosis by endoscopic ultrasound

DOI: 10.17235/reed.2023.9792/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Letter

Peritoneal tuberculosis mimicking colonic carcinomatosis

DOI: 10.17235/reed.2022.8990/2022

Letter

Angiosarcoma of the aorta diagnosed via endoscopic ultrasound

DOI: 10.17235/reed.2022.8879/2022

Digestive Diseases Image

Pancreatic lymphoma during pregnancy

DOI: 10.17235/reed.2022.8811/2022

Digestive Diseases Image

When needles are not enough, forceps delivers!

DOI: 10.17235/reed.2022.8697/2022

Letter

Lumen-apposing metal stent deployment failure

DOI: 10.17235/reed.2020.7060/2020

Letter

Sometimes things are what they seem

DOI: 10.17235/reed.2019.5911/2018

Letter

A giant abdominal collection: when things are not what they seem

DOI: 10.17235/reed.2018.5642/2018

Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess

DOI: 10.17235/reed.2018.5411/2017

Letter to the Editor

EUS-guided ethanol ablation therapy for gastric stromal tumors

DOI: 10.17235/reed.2017.5361/2017

Letter to the Editor

A rectal neuroendocrine neoplasm

DOI: 10.17235/reed.2017.4836/2017

Review

Endoscopic ampullectomy: a technical review

DOI: 10.17235/reed.2016.3867/2015

Case Report

Pelvic inflammatory myofibroblastic tumor mimicking a rectal cancer

DOI: 10.17235/reed.2015.3777/2015

Citation tools
Morão B, Fidalgo C, Loureiro R, Glória L. Doomed for carcinomatosis? An unusual presentation of abdominal tuberculosis. 9855/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 973 visits.
This article has been downloaded 42 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 18/07/2023

Accepted: 24/07/2023

Online First: 04/08/2023

Published: 09/10/2023

Article Online First time: 17 days

Article editing time: 83 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology