Liu WP, Ma FZ, Zhao Z, Li ZR, Hu BG, Yang T. Tuberculous peritonitis complicated by an intraperitoneal tuberculous abscess: A case report. World J Clin Cases 2024; 12(27): 6117-6123 [PMID: 39328861 DOI: 10.12998/wjcc.v12.i27.6117]
Corresponding Author of This Article
Tao Yang, Doctor, Attending Doctor, Department of Gastrointestinal Surgery, Binzhou Medical University Hospital, No. 661 Huanghe Second Road, Binzhou 256603, Shandong Province, China. ytwcwk123@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2024; 12(27): 6117-6123 Published online Sep 26, 2024. doi: 10.12998/wjcc.v12.i27.6117
Tuberculous peritonitis complicated by an intraperitoneal tuberculous abscess: A case report
Wei-Peng Liu, Feng-Zhen Ma, Zhou Zhao, Zong-Rui Li, Bao-Guang Hu, Tao Yang
Wei-Peng Liu, Zhou Zhao, Zong-Rui Li, Bao-Guang Hu, Tao Yang, Department of Gastrointestinal Surgery, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
Feng-Zhen Ma, Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
Co-first authors: Wei-Peng Liu and Feng-Zhen Ma.
Co-corresponding authors: Bao-Guang Hu and Tao Yang.
Author contributions: Liu WP and Ma FZ wrote the manuscript, searched the literature, and prepared the figures; Ma FZ participated in the treatment of the patient; Zhao Z was involved in the design of the study, and revised the manuscript; Yang T and Hu BG provided article ideas, modified the figures, and revised the manuscript; Li ZR performed literature research and collected relevant articles; all authors read and approved the final manuscript.
Informed consent statement: Informed consent is obtained from all participants. Written informed consent is obtained from the patient to publish the case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Yang, Doctor, Attending Doctor, Department of Gastrointestinal Surgery, Binzhou Medical University Hospital, No. 661 Huanghe Second Road, Binzhou 256603, Shandong Province, China. ytwcwk123@163.com
Received: March 1, 2024 Revised: July 1, 2024 Accepted: July 15, 2024 Published online: September 26, 2024 Processing time: 151 Days and 17.5 Hours
Abstract
BACKGROUND
Tuberculous peritonitis (TBP) is a chronic, diffuse inflammation of the peritoneum caused by Mycobacterium tuberculosis. The route of infection can be by direct spread of intraperitoneal tuberculosis (TB) or by hematogenous dissemination. The former is more common, such as intestinal TB, mesenteric lymphatic TB, fallopian tube TB, etc., and can be the direct primary lesion of the disease.
CASE SUMMARY
We present an older male patient with TBP complicated by an abdominal mass. The patient's preoperative symptoms, signs and imaging data suggested a possible abdominal tumor. After surgical treatment, the patient's primary diagnosis of TBP complicating an intraperitoneal tuberculous abscess was established by combining past medical history, postoperative pathology, and positive results of TB-related laboratory tests. The patient's symptoms were significantly reduced after surgical treatment, and he was discharged from the hospital with instructions to continue treatment at a TB specialist hospital and to undergo anti-TB treatment if necessary.
CONCLUSION
This case report analyses the management of TBP complicated by intraperitoneal tuberculous abscess and highlights the importance of early definitive diagnosis in the hope of improving the clinical management of this type of disease.
Core Tip: We present an older male patient with tuberculous peritonitis (TBP) complicated by an abdominal mass. The patient's preoperative symptoms, signs and imaging data suggested a possible abdominal tumor. After surgical treatment, the patient's primary diagnosis of TBP complicated by an intraperitoneal tuberculous abscess was established by previous medical history, postoperative pathology and positive results of tuberculosis-related laboratory tests. Our aim is to report and analyze the diagnostic and therapeutic course of the disease and to highlight the importance of an early and definitive diagnosis in the hope of improving the clinical diagnosis and management of this type of disease.
