Acta Scientific Pharmaceutical Sciences (ASPS)(ISSN: 2581-5423)

Case Report Volume 6 Issue 1

A Rare Case of a Huge Retroperitoneal Tuberculous Cystic Mass in an 18 Year Old Ethiopian Female

Dr Nasib Al Shibli*

Senior Registrar in General Surgery, FACS,FRCSI, MRCSEng, Arab Board/Syrian Board in G.S.. Prince Mutaib Bin AbdulAziz Hospital, Sakaka AlJouf, Saudi Arabia

*Corresponding Author: Dr Nasib Al Shibli, FACS. E-mail:

Received: October 07, 2021; Published: December 09, 2021


Retro peritoneal tuberculosis (TB) a typical mycobacterium infection that is difficult to diagnose as it mimics other gastro-intestinal infections. Mis-diagnosing may result in delayed therapy which may lead to further complication.

An 18-year-old young female Ethiopian admitted in Prince Mutaib Bin Abdul-Aziz hospital. Her symptoms were prolonged low- grade fever (more than 2 months) with insidious vague abdominal pain. She doesn’t have previous surgical interference or no clear history of TB.

CT of abdomen was performed and it has shown a huge retroperitoneal cystic mass form left duodenum down to left iliac fossa. After the CT results a surgical drainage of iliac region and the aspiration cytology of straw-coloured fluid shown the presence of epithelial granulomas, muscle bundles, fibro-adipose tissue, inflammation similar to Mycobacterium tuberculosis infection.

Keywords: Mycobacterium tuberculosis; Retro-peritoneal Tuberculosis; Abdominal Pain; Ct-scan; Surgical Drainage


  1. Haluk Eraksoy MD. “Gastrointestinal and Abdominal Tuberculosis”. Gastroenterology Clinics of North America 50 (2021) 241-360.
  2. Malikowski T., et al. “Tuberculosis of the gastrointestinal tract and associated viscera”. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases 12 (2018): 1-8.
  3. Raja Chandra Chakinala., et al. “Gastrointestinal Tuberculosis Presenting as Malnutrition and Distal Colonic Bowel Obstruction”. Case Reports in Gastrointestinal Medicine (2018): 3.
  4. Raja Chandra Chakinala and Akshay M Khatri. “Gastrointestinal Tuberculosis” (2021).
  5. Hulnick DH., et al. “Abdominal tuberculosis: CT evaluation”. Radiology 157 (1985): 199-204.
  6. Alvares JF., et al. “Clinical, colonoscopic and histological profile of colonic tuberculosis in a tertiary hospital”. Endoscopy 37 (2005): 351-356.
  7. Patel N., et al. “Gastrointestinal luminal tuberculosis: Establishing the diagnosis”. Journal of Gastroenterology and Hepatology 19 (2004): 1240-1246.


Citation: Dr Nasib Al Shibli. “A Rare Case of a Huge Retroperitoneal Tuberculous Cystic Mass in an 18 Year Old Ethiopian Female". Acta Scientific Pharmaceutical Sciences 6.1 (2022): 55-58 .


Copyright: © 2022 Dr Nasib Al Shibli. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate32%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue".
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US