scholarly journals Isolated hepatic Tuberculosis

2015 ◽  
Vol 23 (1) ◽  
pp. 121-123
Author(s):  
Khan Abul Kalam Azad ◽  
Md Uzzwal Mallik ◽  
Mohammad Zaid Hossain ◽  
Abdullah Shayekh ◽  
ASM Moinul Alam ◽  
...  
Keyword(s):  
Weight Loss ◽  
Developing Countries ◽  
Abdominal Pain ◽  
Pulmonary Tuberculosis ◽  
Low Grade ◽  
Rare Presentation ◽  
Medical College ◽  
Hepatic Involvement ◽  
Hepatic Tuberculosis ◽  
Vague Abdominal Pain

Pulmonary tuberculosis is one of the commonest infectious diseases in developing countries including Bangladesh. Hepatic involvement is common in disseminated tuberculosis which may be symptomatic or asymptomatic. But isolated hepatic TB without any symptoms is a rare presentation. We report a case of isolated hepatic TB in a 40 year old housewife who presented with low grade fever, vague abdominal pain and weight loss. She had no pulmonary or hepatic complains. We diagnosed the case when ultrasonogram of abdomen showed multiple space occupying lesions from where FNAC was done and sent for histopathology and Z-N staining and revealed hepatic TB. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22706 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 121-123

scholarly journals Primary Splenic Lymphoma (PSL): A Rare Presentation of Lymphoma

2018 ◽  
Vol 9 (2) ◽  
pp. 152-153
Author(s):  
Md Mahmudur Rahman Siddiqui ◽  
Md Mostafizur Rahman ◽  
Md Hasan Ali Masum ◽  
Abdul Wohab Khan ◽  
Md Ehteshamul Haque ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
B Cell ◽  
Rare Presentation ◽  
Medical College ◽  
Non Hodgkin Lymphoma ◽  
Splenic Lymphoma ◽  
Night Sweats ◽  
Upper Abdominal ◽  
Primary Splenic Lymphoma

Primary Splenic Lymphoma (PSL) is a rare neoplasm of the spleen. PSL is generally presented as B cell non-Hodgkin lymphoma. Primary involvement of the spleen by lymphoma is much less common than secondary involvement. It usually presents with nonspecific symptoms like left upper abdominal pain or discomfort due to splenomegaly, pyrexia, weight loss, night sweats and weakness. In this article, we are reporting a case of PSL in a 23 years old boy who presented with splenomegaly and non-specifc symptoms.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 152-153

scholarly journals Abdominal Tuberculosis in Nepal Medical College Teaching Hospital, Kathmandu

2010 ◽  
Vol 5 (1) ◽  
pp. 39-42 ◽  
Author(s):  
S Shrestha ◽  
GB Pradhan ◽  
K Bhoomi ◽  
BL Shrestha ◽  
CL Bhattachan
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Pulmonary Tuberculosis ◽  
Teaching Hospital ◽  
Barium Meal ◽  
College Teaching ◽  
Abdominal Tuberculosis ◽  
Common Finding ◽  
Medical College ◽  
Acid Fast Bacilli

Abdominal Tuberculosis is a common extra pulmonary manifestation of tuberculosis. The wide spectrum of presentation makes abdominal tuberculosis difficult to diagnose and treat. Retrospective review of cases with abdominal tuberculosis presenting to the Surgery Department of Nepal Medical College Teaching Hospital from January 2002- June 2007 was done to describe our experience of abdominal tuberculosis over a 5 year period. We found total 32 patients with abdominal tuberculosis, among which 13 had concurrent pulmonary tuberculosis. The most common clinical presentation, i.e. a triad of abdominal pain, fever and weight loss was present in 13 who had symptoms of pulmonary tuberculosis presented to physicians and the remaining 19 presented acutely to surgeons with symptoms of pain and obstruction. Chest X ray, abdominal ultrasound and barium meal follow through done to find associated abnormalities. Diagnostic Laparoscopy was performed in 10 and 3 patients with peritonitis underwent emergency laparotomy which revealed multiple ileal perforations in 2 cases and one had multiple strictures with small bowel perforation. Diagnosis of tuberculosis, attended at surgeons was confirmed by demonstrating caseating granulomas in histology and Acid Fast Bacilli Positive, culture for M. tuberculosis from peritoneal fluid. All patients were started anti tuberculosis treatment. Abdominal tuberculosis is a relatively common finding and should always be considered in the differential diagnosis of abdominal pain, fever and weight loss. Key Words: Tuberculosis; abdominal tuberculosis; Acid Fast Bacilli; ileocaecal disease DOI: 10.3126/saarctb.v5i1.3083 SAARC J. Tuber. Lung Dis. HIV/AIDS 2008 Vol.5(1) 39-42

Extramedullary haematopoiesis presenting as a periportal mass

2020 ◽  
Vol 13 (7) ◽  
pp. e235064
Author(s):  
Faranak Rafiee ◽  
Sara Haseli ◽  
Seyed Hamed Jafari ◽  
Pooya Iranpour
Keyword(s):  
Bone Marrow ◽  
Abdominal Pain ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Extramedullary Haematopoiesis ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Vague Abdominal Pain

Extramedullary haematopoiesis (EMH) is defined as haematopoiesis occurring in organs outside the bone marrow. The liver is one of the rare sites of EMH, and to the best of our knowledge, a few cases of adult EMH of the liver have been reported in the last 20 years. Here, we reported the case of a 68-year-old man with a known history of myelofibrosis presented with vague abdominal pain. An abdominal CT scan showed a hypoattenuating periportal mass encasing the portal vein. The final diagnosis of EMH was made through the histopathological examination. This is a rare presentation of EMH, which may be easily mistaken for other pathologies such as metastases. Familiarity with this type of presentation aids in correctly diagnosing it in an appropriate clinical setting.

scholarly journals A Rare Case of Cystic Schwannoma of the Portal Triad

2016 ◽  
Vol 28 (1) ◽  
pp. 33 ◽  
Author(s):  
Dimitrios Avgerinos ◽  
Meshach Heenatigala ◽  
Andrew Lo
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Back Pain ◽  
Rare Case ◽  
The Body ◽  
Portal Triad ◽  
Pancreatic Cystadenoma ◽  
Time Of Operation ◽  
Cystic Schwannoma ◽  
Vague Abdominal Pain

Schwannomas can occur anywhere throughout the body andhave often been mistaken for more-sinister lesions, especiallywhen found in relation to the pancreas. Clinical symptomsrange from none to vague abdominal pain, back pain,anorexia, weight loss, vomiting, jaundice, and episodes ofcholangitis and gastrointestinal bleeding. Preoperative diagnosisis difficult, and endoscopic ultrasound with fine-needleaspiration is often limited in specificity. Given the low statisticallikelihood of schwannomas, therapy is usually targeted at thepossibility of pancreatic cystadenoma/cystadenocarcinoma.Simple enucleation is usually the preferred treatment, anddiagnosis can be established at the time of operation by frozensection. Schwannomas can be malignant, but preoperativeimaging and pathology can help establish the benign natureof most specimens. Patients typically do well with resolution ofsymptoms. Here we present the case of a patient with abdominalpain and a peripancreatic mass observed with computedtomography, who was found to have a cystic schwannomaextending from the portal triad. The mass was removed andthe patient was discharged without complications.

scholarly journals Rapunzel Syndrome: A Rare Presentation with Giant Gastric Ulcer

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Antonios Athanasiou ◽  
Adamantios Michalinos ◽  
Demetrios Moris ◽  
Eleftherios Spartalis ◽  
Nikolaos Dimitrokallis ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Ulcer ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Young Female ◽  
Rare Form ◽  
Rare Presentation ◽  
Rapunzel Syndrome ◽  
History Of ◽  
Small Intestines

The Rapunzel syndrome refers to an uncommon and rare form of trichobezoar that extends past the stomach into the small intestines. The Rapunzel syndrome is usually found in young female patients with a history of psychiatric disorders, mainly trichotillomania and trichophagia. We describe a case of Rapunzel syndrome in a 15-year-old girl who presented with abdominal pain, vomiting, and weight loss. We performed a surgical laparotomy and successfully removed a huge trichobezoar extending into the small intestine.

scholarly journals PRIMARY DIAPHYSEAL TUBERCULOUS OSTEOMYELITIS OF TIBIA

2014 ◽  
Vol 21 (06) ◽  
pp. 1282-1284
Author(s):  
Ghulam Mustafa Kaim Khan ◽  
Syed Mujahid Humail ◽  
Kamran Hafeez
Keyword(s):  
Weight Loss ◽  
Developing Countries ◽  
Differential Diagnosis ◽  
Osteolytic Lesion ◽  
Long Bone ◽  
Low Grade ◽  
X Rays ◽  
X Ray ◽  
Tuberculous Osteomyelitis ◽  
History Of

Diaphyseal tubercular osteomyelitis of long bone is extremely rare and few cases have been reported in literature. We are presenting a case of 17 years old girl presented with pain and swelling over lower half of leg for 7 months. There was often low grade fever but no history of weight loss or pulmonary symptoms. X-ray chest was normal. X-rays and MRI of involved leg were suggestive of osteomyelitis. Curettage and biopsy was done, report was suggestive of tuberculous osteomyelitis. As tuberculosis is still common in developing countries, for an osteolytic lesion in bone, tuberculous osteomyelitis should be considered in differential diagnosis.

scholarly journals Densely calcified tuberculous constrictive pericarditis with concurrent active pulmonary tuberculosis infection

2015 ◽  
Vol 10 (2) ◽  
pp. 41-43
Author(s):  
S Laudari ◽  
S Dhungel ◽  
S Gautam ◽  
L Dubey ◽  
G Prasad ◽  
...  
Keyword(s):  
Developing Countries ◽  
Pulmonary Tuberculosis ◽  
Constrictive Pericarditis ◽  
Chronic Infection ◽  
Tuberculosis Infection ◽  
Medical Sciences ◽  
Rare Presentation ◽  
Active Pulmonary Tuberculosis ◽  
Acid Fast Bacilli

Though pulmonary tuberculosis is a common chronic infection in the developing countries like Nepal, the incidence of tubercular constrictive pericarditis is very low. Here we report a patient of active pulmonary tuberculosis with sputum positive for acid fast bacilli along with densely calcified constrictive pericarditis which has been reported as a very rare presentation in the literature.DOI: http://dx.doi.org/10.3126/jcmsn.v10i2.12955 Journal of College of Medical Sciences-Nepal, 2014, Vol.10(2); 41-43

scholarly journals Lupus vulgaris: a rare presentation of tuberculosis

2017 ◽  
Vol 5 (6) ◽  
pp. 2813
Author(s):  
Nasreen Ali ◽  
Sunil Kumar Agarwalla ◽  
Niranjan Mohanty ◽  
Pulok Ranjan Mallick
Keyword(s):  
Pulmonary Tuberculosis ◽  
Lupus Vulgaris ◽  
Rare Presentation ◽  
Extra Pulmonary Tuberculosis ◽  
Medical College ◽  
Pain Abdomen ◽  
Paediatric Department ◽  
Extra Pulmonary ◽  
Tuberculosis In Children

70-80% of tuberculosis in children is pulmonary tuberculosis and the rest belong to the group of extra pulmonary tuberculosis, of which cutaneous TB is relatively uncommon. Here, we present a case of 10year old boy who was admitted in emergency paediatric department of MKCG medical college with complains of pain abdomen. On further examination and investigation was diagnosed as a case of Lupus vulgaris with SAIO.

scholarly journals Calvarial tuberculosis: an unusual presentation of disseminated tuberculosis

2019 ◽  
Vol 12 (4) ◽  
pp. e226967 ◽  
Author(s):  
Alfredo Manuel Santos Pinheiro da Silva Martins ◽  
Francisco Fanjul ◽  
Antoni Abdon Campins Rosselló ◽  
Melchor Riera Jaume
Keyword(s):  
Weight Loss ◽  
Pulmonary Tuberculosis ◽  
Medical Record ◽  
Neurological Impairment ◽  
Surgical Debridement ◽  
Unusual Presentation ◽  
Low Grade ◽  
Antituberculous Therapy ◽  
Disseminated Tuberculosis

A 30-year-old man, without previous medical record, was admitted to our centre due to persistent hacking cough for the previous 2 months, accompanied by nocturnal sweating, unquantified weight loss and low-grade fever. The patient was finally diagnosed of pulmonary tuberculosis (TB). During admission, a right forehead swelling was detected, painful to palpation, fluctuating and not attached to the skin, without cutaneous alterations or neurological impairment. Surgical debridement was performed and intraoperative cultures were positive for mycobacteria TB. The patient completed 9 months of antituberculous therapy and fully recovered.

scholarly journals A case of abdominal tuberculosis diagnosed by fine needle aspiration cytology (FNAC) of mesenteric lymph node

2017 ◽  
Vol 13 (3) ◽  
pp. 177-180
Author(s):  
Bijendra Kumar Rai ◽  
SU Kafle ◽  
A Sundas
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Fine Needle Aspiration ◽  
Abdominal Distension ◽  
Abdominal Tuberculosis ◽  
Needle Aspiration ◽  
Low Grade ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Background: The modes of presentation of abdominal tuberculosis can be vague resulting in diagnostic dilemma.Objective: To report a case of abdominal tuberculosis diagnosed by FNAC of a mesenteric lymphnode.Case: A 17-year-old boy presented in General out Patient department complaining of abdominal pain, abdominal distension, and low grade fever, anorexia and weight loss for 2 months. The examination revealed pallor, low body weight, doughing of abdomen and multiple palpable painless, slightly mobile abdominal lymph nodes. The ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of a mesenteric lymphnode showed caseating necrosis suggestive of tuberculosis. The erythrocytes sedimentation rate (ESR) was raised.Conclusion: The abdominal tuberculosis can present with abdominal pain and abdominal distension associated with low grade fever, anorexia and weight loss. The diagnosis of abdominal tuberculosis can be confirmed by FNAC of the lymphnodes. Health Renaissance 2015;13(3): 177-180

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