title: Acute abdomen: an unusual case of ruptured tuberculous mesenteric abscess.
abstract: BACKGROUND
  Abdominal tuberculosis is an uncommon extra-pulmonary manifestation of tuberculosis.
  
  
  METHODS
  Case report and literature review.
  
  
  RESULTS
  Herein, we report an unusual case of ruptured tuberculous mesenteric cold abscess, which was managed by laparotomy for diagnosis and drainage, and post-operative chemotherapy.
  
  
  CONCLUSIONS
  Peritoneal tuberculosis may present to surgeons as ascites, an abdominal mass, or peritonitis. Preoperative diagnosis of abdominal tuberculosis is notoriously difficult. Acute peritonitis provoked by rupture of tuberculosis mesenteric cold abscess is exceedingly rare. Surgical intervention is warranted for diagnosis and drainage.
authors.affiliation: Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, SAR, China.
authors.forename: Hester Yui Shan
authors.initials: HY
authors.lastname: Cheung
authors.forename: Wing Tai
authors.initials: WT
authors.lastname: Siu
authors.forename: Kwok Kay
authors.initials: KK
authors.lastname: Yau
authors.forename: Chun Fan
authors.initials: CF
authors.lastname: Ku
authors.forename: Michael Ka Wah
authors.initials: MK
authors.lastname: Li
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology* / Q000628:therapy; D018784:Abdominal Abscess / Q000209:etiology* / Q000628:therapy; D000995:Antitubercular Agents / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012422:Rupture, Spontaneous; D013514:Surgical Procedures, Operative; D016896:Treatment Outcome
chemical_list: D000995:Antitubercular Agents