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KMID : 0371620080230020131
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 2 p.131 ~ p.135
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Percutaneous Drainage of Peritoneal Abscess cause by Delay Diagnosis of Abdominal Tuberculosis
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Kim Seung-Ho
Oh Jung-Teak
Kim Kang-Deuk
Wi Dae-Han
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Abstract
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Abdominal tuberculosis is described in two forms; tuberculous peritonitis and gastrointestinal tuberculosis. Abdominal tuberculosis is usually insidious onset with diverse symptoms and signs. The diagnosis is difficult, especially in areas where the disease is less common, as many patients do not have evidence of pulmonary tuberculosis or a positive skin test. Physicians should obtain a thorough history focusing on risk behaviors for tuberculosis. Delayed diagnosis is common, resulting in high mortality. In general, the same regimens are used to treat pulmonary and abdominal tuberculosis. Most intra-abdominal and other types of fluid collections are now successfully drained percutaneously under image guidance. The utility of percutaneous drainage(PCD) of tuberculous abscesses is less well established. A 43-years-old man, who had been diagnosed as pulmonary tuberculosis about 9 years ago, suffered from peritoneal abscess because of delayed diagnosis. The diagnosis of tuberculosis was confirmed by the PCR tests for the detection of Mycobacterium tuberculosis in the aspirates from the abscess. Drainage was done by catheter under ultrasound guidance and there were no procedural complications. The abscess was successfully and completely evacuated. We present our experience with a case of tuberculous peritoneal abscess which were successfully treated by PCD and antituberculous medication.
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KEYWORD
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Abdominal Tuberculosis, Tuberculous abscess, Percutaneous drainage
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