Tuberculous peritonitis complicated by an intraperitoneal tuberculous abscess: A case report  

作　　者：Wei-Peng Liu Feng-Zhen Ma Zhou Zhao Zong-Rui Li Bao-Guang Hu Tao Yang 

机构地区：[1]Department of Gastrointestinal Surgery,Binzhou Medical University Hospital,Binzhou 256603,Shandong Province,China [2]Department of Gastroenterology,Binzhou Medical University Hospital,Binzhou 256603,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2024年第27期6117-6123,共7页世界临床病例杂志

摘　　要：BACKGROUND Tuberculous peritonitis(TBP)is a chronic,diffuse inflammation of the peritoneum caused by Mycobacterium tuberculosis.The route of infection can be by direct spread of intraperitoneal tuberculosis(TB)or by hematogenous dissemination.The former is more common,such as intestinal TB,mesenteric lymphatic TB,fa-llopian tube TB,etc.,and can be the direct primary lesion of the disease.CASE SUMMARY We present an older male patient with TBP complicated by an abdominal mass.The patient's preoperative symptoms,signs and imaging data suggested a poss-ible abdominal tumor.After surgical treatment,the patient's primary diagnosis of TBP complicating an intraperitoneal tuberculous abscess was established by com-bining past medical history,postoperative pathology,and positive results of TB-related laboratory tests.The patient's symptoms were significantly reduced after surgical treatment,and he was discharged from the hospital with instructions to continue treatment at a TB specialist hospital and to undergo anti-TB treatment if necessary.CONCLUSION This case report analyses the management of TBP complicated by intraperitoneal tuberculous abscess and highlights the importance of early definitive diagnosis in the hope of improving the clinical management of this type of disease.

关 键 词：Abdominal mass Tuberculous peritonitis Intraperitoneal tuberculous abscess Surgical treatment Case report 

分 类 号：R572.2[医药卫生—消化系统]