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.. https://www.facs.org/profile/55967876 https://orcid.org/0000-0003-3291-2656 Prince Mutaib Bin AbdulAziz Hospital, Sakaka AlJouf, Saudi Arabia

*Corresponding Author: Dr Nasib Al Shibli, FACS. E-mail: nasib_kais@yahoo.com

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

Abstract

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

References

  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

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

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.




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