@article{article_1516836, title={Tuberculous Peritonitis Confused with Plastron Appendicitis}, journal={Osmangazi Tıp Dergisi}, volume={47}, pages={328–332}, year={2025}, DOI={10.20515/otd.1516836}, author={Yılmaz, Arda Şakir and Yaşar, Necdet Fatih and Badak, Bartu}, keywords={Plastron apandisit, abdominal tüberküloz, mycobacterium tuberculosis kompleksi}, abstract={Acute appendicitis is the most common surgical cause of abdominal pain in emergency departments. In children, it is often due to lymphoid hyperplasia, while in adults, fecaliths are the primary cause. Granulomatous appendicitis is rare, with an incidence of 0.1-2%, and may result from gastrointestinal tuberculosis. Tuberculosis remains a significant cause of death, particularly in developing countries, and accounts for 1-2% of abdominal tuberculosis cases. Due to its nonspecific symptoms, abdominal tuberculosis can mimic various diseases, complicating diagnosis. This study presents a case of a 31-year-old female initially diagnosed with plastron appendicitis. She had a 10-day history of abdominal pain and diarrhea. Physical examination revealed right lower quadrant tenderness, and laboratory tests showed elevated CRP and leukocyte levels. Abdominal CT findings suggested plastron appendicitis, leading to antibiotic therapy and observation. However, her symptoms persisted, and follow-up imaging indicated inflammatory bowel disease and intra-abdominal tuberculosis. The patient underwent right hemicolectomy and lymph node dissection. Postoperative tests confirmed intra-abdominal tuberculosis, and anti-tuberculosis treatment was initiated. Tuberculosis, caused by Mycobacterium tuberculosis complex, primarily affects the lungs but can also involve other organs. Isolated abdominal tuberculosis is uncommon, accounting for 15-20% of cases. In this patient, both Mycobacterium tuberculosis and Mycobacterium bovis were detected. Because of its nonspecific presentation, abdominal tuberculosis can resemble malignancies. Imaging techniques such as ultrasound, CT, and MRI aid in diagnosis. Early and accurate diagnosis is crucial for timely treatment, reducing morbidity and mortality.}, number={2}, publisher={Eskişehir Osmangazi Üniversitesi}