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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Main Authors: Seyyed Reza Fatemi, M. Ghobakhlou, L. Alizadeh
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2014/914253
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author Seyyed Reza Fatemi
M. Ghobakhlou
L. Alizadeh
author_facet Seyyed Reza Fatemi
M. Ghobakhlou
L. Alizadeh
author_sort Seyyed Reza Fatemi
collection DOAJ
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 doaj-art-da547c503a674ec09abf8ee0a285813e2025-08-20T03:24:25ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/914253914253Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare PresentationSeyyed Reza Fatemi0M. Ghobakhlou1L. Alizadeh2Research Center for Gastroenterology and Liver Diseases, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tabnak Street, Evin, Tehran, IranResearch Center for Gastroenterology and Liver Diseases, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tabnak Street, Evin, Tehran, IranResearch Center for Gastroenterology and Liver Diseases, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tabnak Street, Evin, Tehran, IranRetroperitoneal 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.http://dx.doi.org/10.1155/2014/914253
spellingShingle Seyyed Reza Fatemi
M. Ghobakhlou
L. Alizadeh
Obstructive Pseudotumor of Tuberculosis in a Young Woman: A Rare Presentation
Case Reports in Gastrointestinal Medicine
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
url http://dx.doi.org/10.1155/2014/914253
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AT lalizadeh obstructivepseudotumoroftuberculosisinayoungwomanararepresentation