Case Report
Year: 2020 | Month: April | Volume: 7 | Issue: 4 | Pages: 502-505
Tuberculosis Presenting As Abdominal Wall Abscess in an Immunocompetent Adult
Prachi Srivastava, Nikhil Gupta, Vivek Mishra, S P Misra, Manisha Dwivedi
1Department of Radiology, 2Department of Gastroenterology,
Motilal Nehru Medical College, Prayagraj, India
Corresponding Author: Prachi Srivastava
ABSTRACT
The purpose of this case report is to highlight the unusual presentation of tuberculosis in atypical anatomic location even in an immunocompetent adult. We report a case of 31 year old male who presented with a painless lump over the anterior abdominal wall for the last one and a half months with low grade fever and malaise. Ultrasonography(USG) and Contrast enhanced CT of abdomen showed two thick walled well defined collections with internal debris and rim enhancement, lying in muscular layer of anterior abdominal wall and omentum. The differentials were pyogenic/tubercular abscesses, multiple infected hydatid cysts, necrotic tumor/ metastases. USG guided Fine needle aspiration cytology revealed acid fast bacilli consistent with tuberculosis. The sample was then sent for TB expert MTB/RIF and mycobacterium tuberculosis was detected with rifampicin sensitivity. Patient responded favorably to anti tubercular drug treatment and antigravity USG guided needle aspiration. So, it is very important to keep the differential of tuberculosis in mind and likewise guide the treatment, even if the lesion is present in an unusual location as the sole manifestation, especially in endemic regions.
Keywords: abdominal wall abscess, tuberculosis
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