Tags

Type your tag names separated by a space and hit enter

Imaging as an alternate diagnostic modality in a presumptive case of abdominopelvic TB in a COVID-19 patient.
BMJ Case Rep. 2021 Mar 02; 14(3)BC

Abstract

A 30-year-old, multiparous widow, with postpolio residual paralysis, presented with complaints of dull aching abdominal pain for 15 days. Ultrasound showed a mixed echogenic right adnexal mass with free fluid in the pelvis and abdomen. CT abdomen and pelvis revealed partially defined peripherally enhancing collection in lower abdomen and right adnexa suggestive of tubo-ovarian abscess. There was mild ileal wall thickening and few enlarged mesenteric lymph nodes. Ascitic fluid did not show acid fast bacilli and cultures were sterile. Extensive diagnostic laboratory work was done which was inconclusive. Diagnostic laparoscopy could not be performed due to non-availability of elective operation theatre in the COVID-19 pandemic. Presumptive extrapulmonary tuberculosis was clinically and radiologically diagnosed. She was started on daily anti tuberculosis treatment. This case shows us the importance of imaging as a diagnostic tool and as an alternative for laparoscopy in COVID-19 pandemic to diagnose abdomino-pelvic tuberculosis.

Authors+Show Affiliations

Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India niranjana3093@gmail.com.Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

33653871

Citation

Subramanian, Niranjana, et al. "Imaging as an Alternate Diagnostic Modality in a Presumptive Case of Abdominopelvic TB in a COVID-19 Patient." BMJ Case Reports, vol. 14, no. 3, 2021.
Subramanian N, Sagili H, Naik P, et al. Imaging as an alternate diagnostic modality in a presumptive case of abdominopelvic TB in a COVID-19 patient. BMJ Case Rep. 2021;14(3).
Subramanian, N., Sagili, H., Naik, P., & Durairaj, J. (2021). Imaging as an alternate diagnostic modality in a presumptive case of abdominopelvic TB in a COVID-19 patient. BMJ Case Reports, 14(3). https://doi.org/10.1136/bcr-2021-241882
Subramanian N, et al. Imaging as an Alternate Diagnostic Modality in a Presumptive Case of Abdominopelvic TB in a COVID-19 Patient. BMJ Case Rep. 2021 Mar 2;14(3) PubMed PMID: 33653871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Imaging as an alternate diagnostic modality in a presumptive case of abdominopelvic TB in a COVID-19 patient. AU - Subramanian,Niranjana, AU - Sagili,Haritha, AU - Naik,Parvathi, AU - Durairaj,Jayalakshmi, Y1 - 2021/03/02/ PY - 2021/3/3/entrez PY - 2021/3/4/pubmed PY - 2021/3/11/medline KW - COVID-19 KW - TB and other respiratory infections KW - gynaecology and fertility KW - infections KW - obstetrics JF - BMJ case reports JO - BMJ Case Rep VL - 14 IS - 3 N2 - A 30-year-old, multiparous widow, with postpolio residual paralysis, presented with complaints of dull aching abdominal pain for 15 days. Ultrasound showed a mixed echogenic right adnexal mass with free fluid in the pelvis and abdomen. CT abdomen and pelvis revealed partially defined peripherally enhancing collection in lower abdomen and right adnexa suggestive of tubo-ovarian abscess. There was mild ileal wall thickening and few enlarged mesenteric lymph nodes. Ascitic fluid did not show acid fast bacilli and cultures were sterile. Extensive diagnostic laboratory work was done which was inconclusive. Diagnostic laparoscopy could not be performed due to non-availability of elective operation theatre in the COVID-19 pandemic. Presumptive extrapulmonary tuberculosis was clinically and radiologically diagnosed. She was started on daily anti tuberculosis treatment. This case shows us the importance of imaging as a diagnostic tool and as an alternative for laparoscopy in COVID-19 pandemic to diagnose abdomino-pelvic tuberculosis. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/33653871/Imaging_as_an_alternate_diagnostic_modality_in_a_presumptive_case_of_abdominopelvic_TB_in_a_COVID-19_patient. L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=33653871 DB - PRIME DP - Unbound Medicine ER -