CASE REPORT OF ABDOMINAL TUBERCULOSIS

A CASE REPORT OF ABDOMINAL TUBERCULOSIS

Authors

  • Dr. Pooja Sharma
  • Dr Neha Sharma
  • Dr Neelima Sharma
  • Dr. Satish Motiwale
  • Dr. Bishal Gautam
  • Dr. Dhruva Sharma

Keywords:

Abdominal tuberculosis, Ascitis, Serum-Ascites Albumin Gradient

Abstract

We report a case of 24yr old female who presented with fever, cough with expectoration, decreased appetite, nausea, vomiting, and distension of abdomen with pain in abdomen, ascitic fluid protein was 5 g% , serum-ascites albumin gradient (SAAG) was 0.9 g% , adenine deaminase (ADA) was 39 and serum CA 125 was 194.1 U/ml. Chest X ray showed blunt left costophrenic angle with left hilar prominence with calcification .Abdominal ultasonography revealed right tubo-ovarian mass with gross ascitis. CECT Abdomen showed huge pelvic and abdominal cystic lesion with small nodule arising from right adnexa. The patient was started on DOTS regimen under category- 1 and supportive treatment. M. tuberculosis complex was detected in TB PCR (ascitic fluid) report . Patient reported for follow up and showed marked improvement with regression of ascites and improved general condition.

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Published

2014-04-30

Issue

Vol. 3 No. 2 (2014)

Section

Case Report