PDF(Pubmed)
Abstract：
Tuberculosis is a leading cause of death worldwide, especially in developing countries. It can affect any site in the body and have a myriad of presentations making diagnosis challenging. Tuberculous lymphadenitis in the abdomen is rare. We present a case of a 42-year-old man who presented with non-specific abdominal symptoms and was found to have an intraabdominal abscess on computed tomography scan of the abdomen. Endoscopic ultrasound-guided aspiration was performed, and tuberculosis was confirmed. This case highlights the importance of having a high clinical suspicion of tuberculosis even with vague symptoms in tuberculosis endemic countries. This would prevent unnecessary surgery as tuberculosis is responsive to anti-tuberculosis drugs.
摘要：
结核病是全世界死亡的主要原因，尤其是在发展中国家。它可以影响身体的任何部位，并具有无数的表现，使诊断具有挑战性。腹部结核性淋巴结炎很少见。我们介绍了一例42岁的男子，该男子表现出非特异性腹部症状，并在腹部计算机断层扫描中发现腹内脓肿。进行内窥镜超声引导下的抽吸，结核病被证实。该病例强调了在结核病流行国家即使症状模糊，对结核病仍具有高度临床怀疑的重要性。这将防止不必要的手术，因为结核病对抗结核药物有反应。
