Colo‐appendico‐duodenal fistula: Rare presentation of extrapulmonary tuberculosis

Gan, David Eng Yeow; Sibin, Rohamini; Payus, Alvin Oliver; Hayati, Firdaus

doi:10.1002/ccr3.4797

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…In our patient, the absence of chronic diarrhea is an argument against this diagnosis 9 . Also, digestive tuberculosis in its fistulizing form must be evoked systematically in an endemic country 10 . At last, superficial affections can be considered, like abscessed, 11 an abscess complicating a furuncle, which especially occurs in diabetic patient, 12 or an abdominal abscess complicating an insulin injection 13 .…”

Section: Discussionmentioning

confidence: 77%

“…9 Also, digestive tuberculosis in its fistulizing form must be evoked systematically in an endemic country. 10 At last, superficial affections can be considered, like abscessed, 11 an abscess complicating a furuncle, which especially occurs in diabetic patient, 12 or an abdominal abscess complicating an insulin injection. 13 But in our patient, there was no history of furuncle or insulin injections.…”

Section: F I G U R Ementioning

confidence: 99%

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When a polyester mesh causes an enterocutaneous fistula, 30 years after its implantation

Mahjoubi

Essid

Rezgui

et al. 2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 77%

Section: F I G U R Ementioning

confidence: 99%

When a polyester mesh causes an enterocutaneous fistula, 30 years after its implantation

Mahjoubi

Essid

Rezgui

et al. 2022

Clinical Case Reports

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show abstract

“…Any medical practitioner undoubtedly must have gone through the complex cases thoroughly before coming to a final diagnosis especially if the symptoms persist. The possibility of extrapulmonary tuberculosis must be ruled out, especially in this endemic region [ 4 ]. Left-sided abdominal pain with faecaluria must exclude colonic malignancy as well [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Pneumaturia and faecaluria: Symptoms leading to a life-saving diagnosis

Wynn

Yin

Mya

et al. 2022

Annals of Medicine &Amp; Surgery

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“…In view of the non-specific presentation and imaging characteristics, it is often difficult to diagnose and a high index of suspicion is required to obtain a preoperative diagnosis. The ileo-caecal junction is the most commonly affected area in abdominal tuberculosis, besides other hollow organs [1]. Solid organs such as the liver, spleen or kidneys occur more commonly than the pancreas [2].…”

Section: Introductionmentioning

confidence: 99%

The great masquerader of pancreatic tuberculosis

Chan

Sellappan

Maiyauen

et al. 2022

Egypt J Radiol Nucl Med

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Background Pancreatic tuberculosis is a rare clinical entity. It represents a diagnostic challenge as the clinical presentation may mimic pancreatic malignancy. Case presentation A 66-year-old gentleman presented with an incidental finding of a pancreatic tail mass on routine ultrasonography of the abdomen whilst working up on chronic kidney disease. He denied abdominal pain, fever, night sweats, constitutional symptoms or tuberculosis contact. On examination, there was no palpable mass per abdomen. The tumour marker of Ca 19-9 was normal. Ultrasonography revealed a lobulated heterogeneous hypovascular and hypoechoic mass at the tail of the pancreas. Contrast-enhanced computed tomography (CT) of the thorax and abdomen revealed a thickened right pleura, right pleural effusion with right lung collapsed consolidation and multiple mediastinal lymph nodes. There is an ill-defined hypodense mass seen in the tail and body of the pancreas measuring 3 × 7 × 3 cm with the presences of calcification within. The constellation of CT findings suggests a pancreatic malignancy with metastasis to the lungs. Endoscopic ultrasonography (EUS) assessment showed an irregular hypoechoic mass measuring 3.0 × 2.7 cm at the tail of the pancreas. Multiple rounded hypoechoic lesions were also seen scattered within the body of the pancreas with multiple enlarged para-aortic lymph nodes. A fine-needle aspiration biopsy of the lesion was consistent with granulomatous inflammation. The diagnosis of disseminated tuberculosis was made. The patient was subsequently started on antitubercular medication and recovered well. Conclusion A high index of suspicion is needed to diagnose pancreatic tuberculosis, especially in patients whose radiological imaging shows a pancreatic mass with necrotic peripancreatic lymphadenopathy in endemic countries. EUS-guided fine-needle aspiration is the diagnostic modality of choice, and vigorous attempts should be made at obtaining a preoperative histological or bacteriological diagnosis to avoid unnecessary surgery.

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Colo‐appendico‐duodenal fistula: Rare presentation of extrapulmonary tuberculosis

Abstract: A colo‐appendico‐duodenal fistula is a rare occurrence that results from extrapulmonary tuberculosis (TB) complications, especially in the endemic region.

Cited by 4 publications

References 11 publications

When a polyester mesh causes an enterocutaneous fistula, 30 years after its implantation

When a polyester mesh causes an enterocutaneous fistula, 30 years after its implantation

Pneumaturia and faecaluria: Symptoms leading to a life-saving diagnosis

The great masquerader of pancreatic tuberculosis

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