Acute abdomen: an unusual case of ruptured tuberculous mesenteric abscess.
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.
Cheung
Hester Yui Shan
HY
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, SAR, China.
Siu
Wing Tai
WT
Yau
Kwok Kay
KK
Ku
Chun Fan
CF
Li
Michael Ka Wah
MK
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
D000995:Antitubercular Agents