Doomed for carcinomatosis? An unusual presentation of abdominal tuberculosis.
Bárbara MorãoCatarina FidalgoRui LoureiroLuisa GlóriaPublished in: Revista espanola de enfermedades digestivas (2023)
A 35-year old male from Brazil presented with intermittent abdominal pain. Abdominal computed tomography revealed a nodule adjacent to splenic hilum and multiple abdominal nodules, suspicious for carcinomatosis. The patient underwent gastroscopy and endoscopic ultrasound (EUS), that revealed an ill-defined hypoechogenic lesion adjacent to the spleen and two hypoechogenic subepithelial lesions located in the 4th layer of the stomach and duodenal bulb. Biopsies revealed non-necrotizing granulomatous inflammation with multinucleated giant cells. Soon after, a 18cm palpable mass within the rectus abdominis muscle ensued, which biopsy was positive for Mycobacterium tuberculosis DNA, confirming the diagnosis of disseminated abdominal tuberculosis.
Keyphrases
- mycobacterium tuberculosis
- ultrasound guided
- fine needle aspiration
- computed tomography
- single cell
- abdominal pain
- magnetic resonance imaging
- pulmonary tuberculosis
- induced apoptosis
- oxidative stress
- positron emission tomography
- hiv aids
- high intensity
- skeletal muscle
- cell death
- circulating tumor
- single molecule
- cell cycle arrest
- magnetic resonance
- cell free
- hepatitis c virus
- circulating tumor cells
- adverse drug
- signaling pathway
- hiv infected
- rare case
- dual energy