Inguinal hernia incarceration as a form of intestinal tuberculosis.
We report the case of a 41 year-old male who came to the emergency room with a complaint of abdominal pain, and was diagnosed to have an acute obstructive abdomen due to a right inguinal hernia incarceration. During surgery, an intestinal granulomatous inflammation was observed adhered to the hernial sac. The histopathologic study confirmed the diagnosis of tuberculosis. We present a review of the different clinical forms of intestinal tuberculosis and the difficulties encountered in the differential diagnosis of such, emphasizing the uncommon presentation described in our patient.
Faccin
M
M
College of Medicine of the University Foundation of ABC (UFABC), São Paulo, Brazil.
Youssef
S R
SR
Mozetic
V
V
Catapani
W R
WR
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000328:Adult; D006099:Granuloma / Q000473:pathology*; D006552:Hernia, Inguinal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007410:Intestinal Diseases / Q000473:pathology*; D008297:Male; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000473:pathology / Q000601:surgery