A Tuberculous Peritonitis Presenting as Submucosal Tumors.
- Author:
Chang Soo CHOI
1
;
Geom Seog SEO
;
Ki Hoon KIM
;
Bong Joon YANG
;
Yong Hwan AHN
;
Suck Chei CHOI
Author Information
1. Department of Internal Medicine, Digestive Disease Research Institute,Wonkwang University College of Medicine, Iksan, Korea. medcsc@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Submucosal Tumor;
Colon;
Peritonitis, Tuberculous
- MeSH:
Biopsy;
Carcinoid Tumor;
Colon;
Female;
Humans;
Inflammation;
Middle Aged;
Necrosis;
Peritonitis, Tuberculous;
Weight Loss
- From:Intestinal Research
2009;7(1):60-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculous peritonitis is not an uncommon disease, but the diagnosis is often missed and delayed because of the variability of disease presentation and non-specific clinical manifestations. In this report, we discuss a rare case of tuberculous peritonitis which presented as a submucosal mass in the colon. A 61-year-old woman registered at our hospital for a physical check-up. She had a weight loss of 3 kg over the past 6 months. The colonoscopic findings showed submucosal lesions (4 and 6 mm in size, yellow in color, and hard) which were suspected to be a carcinoid tumor. However, an abdomen-pelvic CT scan and laparoscopic findings suggested peritoneal tuberculosis. The result of laparoscopic biopsies was chronic granulomatous inflammation without caseous necrosis. After the standard anti-tuberculosis medications for 6 months, the previous lesions on the CT scan had resolved.
