Abstract

Abdominal tuberculosis is a rare infectious disease that can involve the peritoneum and lead to portal vein thrombosis and mimic peritoneal carcinomatosis. We report on a 43-year-old male patient with fatigue and progressive weight loss for two years. Ascites was the only pathologic finding in his physical examination and laboratory findings revealed only a mild anaemia with Ca-125 elevation. The ascitic fluid Adenosine deaminase (ADA) level was also elevated. Computed tomography revealed splenomegaly, a mesenteric mass measuring 3.5 cm and intra-abdominal lymphadenopathies at the hepatic hilum. Oesophagogastroduodenoscopy (EGD) revealed oesophageal varices which was also consistent with portal hypertension. Diagnostic laparotomy and biopsies obtained from the omentum and the lymph nodes revealed acid-fast staining tuberculosis bacilli.

Authors

Ozşeker B, Ozşeker HS, Kav T, Shorbagi A, Karakoç D, Bayraktar Y

Institution

Department of Internal Medicine, Gastroenterology Unit, Hacettepe University, Ankara, Turkey.

Source

Acta clinica Belgica 67:2 pg 137-9

MeSH

Adult
Humans
Liver Cirrhosis
Lymph Nodes
Male
Mycobacterium tuberculosis
Omentum
Peritoneal Neoplasms
Portal Vein
Tuberculosis
Venous Thrombosis

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22712172