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Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation

Retroperitoneal pseudotumor is an extremely rare presentation of extrapulmonary tuberculosis. The diagnosis of this paucibacillary disease is difficult which is usually misdiagnosed as a malignant tumor. High index of suspicion is required for early diagnosis and treatment of retroperitoneal pseudot...

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Autores principales: Fatemi, Seyyed Reza, Ghobakhlou, M., Alizadeh, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166642/
https://www.ncbi.nlm.nih.gov/pubmed/25258687
http://dx.doi.org/10.1155/2014/914253
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author Fatemi, Seyyed Reza
Ghobakhlou, M.
Alizadeh, L.
author_facet Fatemi, Seyyed Reza
Ghobakhlou, M.
Alizadeh, L.
author_sort Fatemi, Seyyed Reza
collection PubMed
description Retroperitoneal pseudotumor is an extremely rare presentation of extrapulmonary tuberculosis. The diagnosis of this paucibacillary disease is difficult which is usually misdiagnosed as a malignant tumor. High index of suspicion is required for early diagnosis and treatment of retroperitoneal pseudotumor which can affect prognosis of this disease. Because of its rarity and difficult diagnosis, we report an 18-year-old immunocompetent girl who presented with abdominal pain and vomiting. Upper endoscopy showed an exudative mass between the second and third parts of duodenum. Abdominal computed tomography (CT) revealed a large retroperitoneal mass with extension into small bowel. Exploratory laparotomy and histopathological examination of tissue showed calcified granuloma. Ziehl-Neelsen staining and PCR confirmed the tuberculosis. The patient was successfully treated with standard antituberculosis therapy.
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spelling pubmed-41666422014-09-25 Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation Fatemi, Seyyed Reza Ghobakhlou, M. Alizadeh, L. Case Rep Gastrointest Med Case Report Retroperitoneal pseudotumor is an extremely rare presentation of extrapulmonary tuberculosis. The diagnosis of this paucibacillary disease is difficult which is usually misdiagnosed as a malignant tumor. High index of suspicion is required for early diagnosis and treatment of retroperitoneal pseudotumor which can affect prognosis of this disease. Because of its rarity and difficult diagnosis, we report an 18-year-old immunocompetent girl who presented with abdominal pain and vomiting. Upper endoscopy showed an exudative mass between the second and third parts of duodenum. Abdominal computed tomography (CT) revealed a large retroperitoneal mass with extension into small bowel. Exploratory laparotomy and histopathological examination of tissue showed calcified granuloma. Ziehl-Neelsen staining and PCR confirmed the tuberculosis. The patient was successfully treated with standard antituberculosis therapy. Hindawi Publishing Corporation 2014 2014-09-02 /pmc/articles/PMC4166642/ /pubmed/25258687 http://dx.doi.org/10.1155/2014/914253 Text en Copyright © 2014 Seyyed Reza Fatemi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Fatemi, Seyyed Reza
Ghobakhlou, M.
Alizadeh, L.
Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title_full Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title_fullStr Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title_full_unstemmed Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title_short Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
title_sort obstructive pseudotumor of tuberculosis in a young woman: a rare presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166642/
https://www.ncbi.nlm.nih.gov/pubmed/25258687
http://dx.doi.org/10.1155/2014/914253
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