A case of abdominal tuberculosis presenting as obstructive jaundice
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240857Keywords:
Mycobacterium tuberculosis, Extrapulmonary TB, Jaundice, Portal hypertensionAbstract
Extrapulmonary tuberculosis is notorious for its many manifestations, which can lead to delayed diagnosis and treatment. In particular, abdominal tuberculosis is easily overlooked because the incidence is low and because it can mimic common non-infectious abdominal syndromes. We describe here a 45-year-old female presenting with obstructive jaundice. In this patient, a pancreatic mass was found and tuberculosis was first diagnosed after a diagnostic laparoscopic. Tuberculosis should be included in the differential diagnosis of intra-abdominal mass lesions, especially in persons originating from regions where tuberculosis is endemic. Invasive procedures are often required to obtain adequate diagnostic samples.
References
Colovic R, Grubor N, Jesic R, Micev M, Jovanovic T, Colovic N, et al. Tuberculosis lymphadenitis as a cause of obstructive jaundice: a case report and literature review. World J Gastrornterol. 2008;14:3098-100.
Cheng VC, Ho PL, Lee RA, Chan KS, Chan KK, Woo PC, et al. Clinical paradoxical deterioration during antituberculosis therapy in non-HIV-infected patient. Eur J Clin Microbiol Infect Dis. 2002;21:803-9.
Global Tuberculosis Control. Available at: http://www.who.int/tb/publication/global_re port/2018/gtbr11_full.pdf. Accessed on 21 June 2018.
Sharma K, Sinha SK, Sharma A, Nada R, Prasad KK, Goyal K, et al. Multiplex PCR for rapid diagnosis of gastrointestinal tuberculosis. J Glob Infect Dis. 2013;5:49-53.
Chaudhry P. Hepatobilliary tuberculosis. Ann Gastroenterol. 2014;27:207.
Fain O, Lortholary O, Lascaux VV, Amoura II, Babinet P, Beaudreuil J, et al. Extrapulmonary tuberculosis in the northeastern suburbs of Paris: 141 cases. Eur J Intern Med. 2000;11(3):145-50.
Alvarez SZ. Hepatobilliary tuberculosis. Phil J Gastroenterol. 2006;2:1-10.
Global tuberculosis report. Available at: http://www. who.int. Accessed on 20 November 2023.
Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol. 2014;20(40):14831-40.
