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.
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References
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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.
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.
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Fahlbusch, T., Künzli, B., Schlottmann, R. et al. Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma. J Gastrointest Surg 23, 877–878 (2019). https://doi.org/10.1007/s11605-018-3800-3
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DOI: https://doi.org/10.1007/s11605-018-3800-3