PDF(Pubmed)
Abstract：
Abdominal tuberculosis (TB) remains a significant health concern globally, particularly in regions with high endemicity such as North Africa and Morocco. Despite advances in diagnostic modalities, the nonspecific presentation of abdominal TB poses challenges for timely diagnosis and management. Here, we report a case of abdominal TB in a critically state of a young man from Morocco, presenting with acute abdominal pain and signs of sepsis. Radiological investigations revealed features suggestive of intestinal perforation complicating peritoneal TB. Urgent laparotomy confirmed the diagnosis, yet the patient succumbed to advanced sepsis postoperatively. This case underscores the complexity of abdominal TB diagnosis and management, necessitating a high index of suspicion and multidisciplinary collaboration. With evolving surgical techniques and ongoing research efforts, optimizing strategies for early detection and treatment of abdominal TB remains imperative, particularly in endemic regions.
摘要：
腹部结核（TB）仍然是全球重大的健康问题。特别是在北非和摩洛哥等地方性高的地区。尽管诊断方式有了进步，腹部结核的非特异性表现对及时诊断和治疗提出了挑战.这里,我们报告了一例来自摩洛哥的年轻人的腹部结核病，表现为急性腹痛和败血症的迹象。放射学检查显示提示肠穿孔并发腹膜结核的特征。紧急剖腹手术证实了诊断，然而，患者在术后死于晚期脓毒症。该病例强调了腹部结核诊断和治疗的复杂性,需要高度怀疑和多学科合作。随着外科技术的发展和持续的研究工作，优化早期发现和治疗腹部结核病的策略仍然势在必行，特别是在流行地区。
