A Case report Abdominal TB presented as right psoas muscle abscess

Mr.Mohammed A.Abusin; DR.Tagwa Ali; DR. Mohammed Rajab; DR. Elaf Omer; DR.Ruba Mohammed

doi:10.18535/ijsrm/v11i02.mp03

Abstract

Psoas muscle abscess is an uncommon presentation of abdominal TB, we described a 55 years old Sudanese male presented with a history of constitutional symptoms and history of right groin mass. Our patient denied any history of TB infection or contact with TB patient. Computed tomography scan revealed a right psoas muscle abscess. A US guided biopsy of the abscess was carried out and sent to histopathology, which showed mycobacterium tuberculosis infection. The patient was treated with antituberculus therapy and an ultrasound guided surgical drainage of the abscess. But our patient then developed signs of acute intestinal obstruction and underwent exploratory laparotomy, in which he was discovered to have a small bowel stricture as a complication of his abdominal TB. ileostomy was done, and a couple of days later the patient was discharged on good medical condition and antituberculus therapy.

References

ELmajdoubi H, EL Yahiyaoui M, Baiss M, Bouzroud M, Aboulfeth EM, Najih M, et al. Abdominopelvic Mass Revealing Tuberculosis in a Young Woman. Case Rep Surg. 2021;2021:1–4.Google Scholar ↗
Wellmann MH, Tariq HA, De Jager-Wood C. Case report demonstrating abdominal tuberculosis presenting as an irreducible para-umbilical hernia. Int J Surg Case Rep [Internet]. Surgical Associates Ltd; 2020;75:75–7. Available from: https://doi.org/10.1016/j.ijscr.2020.09.004DOI ↗Google Scholar ↗
Rathi P, Gambhire P. Abdominal Tuberculosis. J Assoc Physicians India. India; 2016 Feb;64(2):38–47.Google Scholar ↗
Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol. 2014;20(40):14831–40.Google Scholar ↗
Evans RPT, Mourad MM, Dvorkin L, Bramhall SR. Hepatic and Intra-abdominal Tuberculosis: 2016 Update. Curr Infect Dis Rep [Internet]. 2016;18(12):45. Available from: https://doi.org/10.1007/s11908-016-0546-5DOI ↗Google Scholar ↗
Vaz AP, Gomes J, Esteves J, Carvalho A, Duarte R. A rare cause of lower abdominal and pelvic mass, primary tuberculous psoas abscess: A case report. Cases J. 2009;2(11):2–5.Google Scholar ↗
Harrigan RA, Kauffman FH, Love MB. Tuberculous psoas abscess. J Emerg Med. United States; 1995;13(4):493–8.Google Scholar ↗

[refR-1] ELmajdoubi H, EL Yahiyaoui M, Baiss M, Bouzroud M, Aboulfeth EM, Najih M, et al. Abdominopelvic Mass Revealing Tuberculosis in a Young Woman. Case Rep Surg. 2021;2021:1–4.Google Scholar ↗

[refR-2] Wellmann MH, Tariq HA, De Jager-Wood C. Case report demonstrating abdominal tuberculosis presenting as an irreducible para-umbilical hernia. Int J Surg Case Rep [Internet]. Surgical Associates Ltd; 2020;75:75–7. Available from: https://doi.org/10.1016/j.ijscr.2020.09.004DOI ↗Google Scholar ↗

[refR-3] Rathi P, Gambhire P. Abdominal Tuberculosis. J Assoc Physicians India. India; 2016 Feb;64(2):38–47.Google Scholar ↗

[refR-4] Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol. 2014;20(40):14831–40.Google Scholar ↗

[refR-5] Evans RPT, Mourad MM, Dvorkin L, Bramhall SR. Hepatic and Intra-abdominal Tuberculosis: 2016 Update. Curr Infect Dis Rep [Internet]. 2016;18(12):45. Available from: https://doi.org/10.1007/s11908-016-0546-5DOI ↗Google Scholar ↗

[refR-6] Vaz AP, Gomes J, Esteves J, Carvalho A, Duarte R. A rare cause of lower abdominal and pelvic mass, primary tuberculous psoas abscess: A case report. Cases J. 2009;2(11):2–5.Google Scholar ↗

[refR-7] Harrigan RA, Kauffman FH, Love MB. Tuberculous psoas abscess. J Emerg Med. United States; 1995;13(4):493–8.Google Scholar ↗