Abstract

SANCHEZ PORTELA, Carlos Antonio. Intra-abdominal abscess secondary to intestinal tuberculosis in general hospital Dolisie, Republic of Congo. Rev Cubana Cir [online]. 2016, vol.55, n.4, pp. 348-354. ISSN 1561-2945.

The incidence of intestinal tuberculosis is unknown since it may be symptom-free and lead to frequent misdiagnoses, so one should highly suspect of intestinal tuberculosis in high risk populations. The intra-abdominal abscesses are rare complications, with an incidence rate of 2 to 30%. Here is the case of a 52 years-old male patient who had an abdominal in her mesogastrium associated to abdominal pain and weight loss. The first testing was thorax X-ray and abdominal ultrasound, which revealed the presence of a 90x74mm mass in the peritoneum. As a result, he was operated on including intrabdominal abscess drainage. The final diagnosis was intestinal tuberculosis, being the recovery satisfactory after the anti-tuberculosis treatment. It is fundamental to make emphasis on the importance of early diagnosis of intestinal tuberculosis in patients with acute abdomen symptoms in risk groups since this may avoid surgical treatment. The diagnosis based on macroscopic findings in case of surgical treatment may also avoid unnecessary intestinal resections. Generally speaking, the diagnosis is made during a surgery or by invasive procedures with other purposes since the clinical diagnosis is difficult; irregular anti-tuberculosis treatment is a significant risk factor for the development of complications in diagnosed intestinal tuberculosis. It is highly effective in the resolution of moderate-severity complications such as intestinal obstruction and intra-abdominal abscesses.

Keywords : intra-abdominal abscess; intestinal tuberculosis.

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