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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 4/2019

01-04-2019 | GI Image

Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma

Authors: Tim Fahlbusch, Beat Künzli, Renate Schlottmann, Andrea Tannapfel, Waldemar Uhl, Chris Braumann

Published in: Journal of Gastrointestinal Surgery | Issue 4/2019

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Abstract

Background

A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread.

Methods

Patient’s medical history was reprocessed and compared to recent literature via PubMed.

Results

Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven.

Conclusion

Symptoms of TB may vary and findings can be misleading. An interdisciplinary approach is needed for diagnosis and treatment.
Literature
1.
2.
Chen CH, Yang CC, Yeh YH, et al.: Pancreatic tuberculosis with obstructive jaundice--a case report. The American journal of gastroenterology 1999;94(9):2534–2536.PubMed
3.
Rath T, Atreya R, Geißdörfer W, et al.: A Severe Case of Tuberculosis Radiologically and Endoscopically Mimicking Colorectal Cancer with Peritoneal Carcinomatosis. Case reports in gastrointestinal medicine 2017;2017:6206951.
Metadata
Title
Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma
Authors
Tim Fahlbusch
Beat Künzli
Renate Schlottmann
Andrea Tannapfel
Waldemar Uhl
Chris Braumann
Publication date
01-04-2019
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 4/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-018-3800-3

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