Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma.

J Gastrointest Surg

Department of General and Visceral Surgery, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.

Published: April 2019

Background: A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread.

Methods: Patient's medical history was reprocessed and compared to recent literature via PubMed.

Results: Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven.

Conclusion: Symptoms of TB may vary and findings can be misleading. An interdisciplinary approach is needed for diagnosis and treatment.

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http://dx.doi.org/10.1007/s11605-018-3800-3DOI Listing

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