Santana-Ortiz R, Ortiz-Mojica HG, Rodríguez-Rodríguez IC, Baltazar-Guerrero JE, Pérez-Rulfo ID, Duque-Zepeda F, Orozco-Pérez J, Yanowsky-Reyes G

Language: Spanish
References: 9
Page: 271-274
PDF size: 525.69 Kb.

ABSTRACT

Acute appendicitis is the most frequent surgical emergency, being of tuberculous etiology with a frequency of 7-8% and an incidence of 0.1-0.6%. In the present work we describe a patient that showed typical abdominal pain, who was evaluated and submitted to the operating room where the intervention initiated with a Rocky Davis type incision. When the caecum was exposed, abundant peri-cecal mesenteric adenitis and in the terminal ileon was observed, as well as millet grains in the meso-appendix which showed an acute suppurative phase. The procedure continued to appendectomy and PCR of peritoneal liquid was presented as positive for Mycobacterium tuberculosis as well as a pathology report that confirmed the presence of granulomatous tissue. Even though this patient has no previous risk factors for tuberculosis infection, shows no signs of malnutrition and has been previously vaccinated with CGB, this etiology must be suspected.

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