Dilemma Continues – Abdominal Tuberculosis or Abdomininal Lymphoma

Abstract

Tuberculosis is a disease that has long been there since ages and is a threat as it was. Abdominal tuberculosis is espacially common in endemic regions and with its varying and non-specific presentation may mimic a variety of disorders ranging from benign to malignant. It has a concealing effect as well and tends to mask diseases that are of entirely different character. All of this creates a diagnostic dilemma for the clinician. we present a similar case which was as non-specific as it could be. We presented here a patient who after undergoing more than 3 colonoscopies, being labelled lymphoma twice, registered for chemotherapy and most of the conventional tubercular markers being negative, still turned out to be a case of abdominal tuberculosis. 

Keywords

• Tuberculosis,Lymphoma,Colonoscopy,Histopathology

Kaynakça

1. 1. Evans, RPT, Mourad MM, Dvorkin L, et al. Curr Infect Dis Rep 2016; 18: 45. 2. Al-Quorain AA, Satti MB, Al-Freihi HM, Al-Gindan YM, Al-Awad N. Abdominal tuberculosis in Saudi Arabia: A clinicopathological study of 65 cases. Am J Gastroenterol 1993; 88: 75-79. 3. Lewis S, Field S. Intestinal and peritoneal tuberculosis. In: Rom WN, Garay S, eds. Tuberculosis. Little Brown and Company, Boston, USA; 1996; 585-597. 4. Bhargawa DK, Shrinivas S, Chopra P, Nijhawan S, Dasarathy S, Kushwaha AKS. Peritoneal tuberculosis: Laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol 1992; 87: 109-112. 5. Kushwaha R, Singhal S, Verma S. Case Report Disseminated tuberculosis mimicking lymphoma. Calicut Med J 2008; 6: e8. 6. Ayaslioglu E, Basar H, Duruyurek N, et al. Disseminated tuberculosis with lymphatic, splenic and scrotal abscesses: a case report. Cases J 2009; 2: 6995. 7. Tauro LF, Furtado HW, Aithala PS, et al. Primary Lymphoma of the Colon. Saudi J Gastroenterol 2009; 15: 279-282. 8. Dres M, Demoule A, Schmidt M, Similowski T Tuberculosis hiding a non-Hodgkin lymphoma “there may be more to this than meets the eye”. Respir Med Case Rep 2012; 7: 15-16. 9. Bellido MC, Martino R, Martinez C, Sureda A, Brunet S. Extrapulmonary tuberculosis and non-Hodgkin’s lymphoma: coexistence in an abdominal lymph node. Haematologica 1995; 80(5):482e3. 10. Kaplan MH, Armstrong D, Rosen P. Tuberculosis complicating neoplastic disease. A review of 201 cases. Cancer 1974; 33(3):850e8. 11. Costa LJ, Gallafrio CT, Franca FO, del Giglio A. Simultaneous occurrence of Hodgkin disease and tuberculosis: report of three cases. South Med J 2004; 97(7):696e8. 12. Tavani A, La Vecchia C, Franceschi S, Serraino D, Carbone A. Medical history and risk of Hodgkin’s and non-Hodgkin’s lymphomas. Eur J Cancer Prev 2000; 9(1):59e64. 13. Askling J, Ekbom A. Risk of non-Hodgkin’s lymphoma following tuberculosis. Br J Cancer 2001; 84(1):113e5.