Hdl Handle:
http://hdl.handle.net/10147/270374
Title:
An unusual cause of abdominal pain.
Authors:
Mc Cabe, Aileen; Low, Justin; McInerney, John
Affiliation:
Emergency Department, St James Hospital, Dublin, Ireland. lifesbeachy@yahoo.com
Citation:
An unusual cause of abdominal pain. 2011, 2011: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
Jan-2011
URI:
http://hdl.handle.net/10147/270374
DOI:
10.1136/bcr.09.2010.3370
PubMed ID:
22715270
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062369/pdf/bcr.09.2010.3370.pdf
Abstract:
A 26-year-old man presented to the Emergency Department with abdominal pain, diarrhoea, anorexia and haematemesis. The patient was previously diagnosed with latent tuberculosis (TB). On examination, his abdomen was diffusely tender, with localised guarding in the right iliac fossa. CT imaging of his abdomen and pelvis demonstrated a low volume of ascites, diffuse studding of the peritoneum, omental caking and several bulky low-density lymph nodes in the retroperitoneum. A laparoscopy was performed to obtain a peritoneal biopsy. Histology demonstrated fragments of peritoneum with necrotising granulomatous inflammatory infiltrate in keeping with an infectious process, favouring TB. He was commenced on rifampicin, isoniazid, pyrazinamide, ethambutol and pyridoxine under the direct observed therapy by the infectious diseases team. In view of his extensive peritoneal involvement, he was empirically started on high-dose prednisolone for symptomatic control and to reduce complications related to peritoneal adhesions.
Item Type:
Article
Language:
en
MeSH:
Abdominal Pain; Adult; Humans; Male; Peritonitis, Tuberculous
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorMc Cabe, Aileenen_GB
dc.contributor.authorLow, Justinen_GB
dc.contributor.authorMcInerney, Johnen_GB
dc.date.accessioned2013-02-25T14:39:36Z-
dc.date.available2013-02-25T14:39:36Z-
dc.date.issued2011-01-
dc.identifier.citationAn unusual cause of abdominal pain. 2011, 2011: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid22715270-
dc.identifier.doi10.1136/bcr.09.2010.3370-
dc.identifier.urihttp://hdl.handle.net/10147/270374-
dc.description.abstractA 26-year-old man presented to the Emergency Department with abdominal pain, diarrhoea, anorexia and haematemesis. The patient was previously diagnosed with latent tuberculosis (TB). On examination, his abdomen was diffusely tender, with localised guarding in the right iliac fossa. CT imaging of his abdomen and pelvis demonstrated a low volume of ascites, diffuse studding of the peritoneum, omental caking and several bulky low-density lymph nodes in the retroperitoneum. A laparoscopy was performed to obtain a peritoneal biopsy. Histology demonstrated fragments of peritoneum with necrotising granulomatous inflammatory infiltrate in keeping with an infectious process, favouring TB. He was commenced on rifampicin, isoniazid, pyrazinamide, ethambutol and pyridoxine under the direct observed therapy by the infectious diseases team. In view of his extensive peritoneal involvement, he was empirically started on high-dose prednisolone for symptomatic control and to reduce complications related to peritoneal adhesions.en_GB
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062369/pdf/bcr.09.2010.3370.pdfen_GB
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshAbdominal Pain-
dc.subject.meshAdult-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshPeritonitis, Tuberculous-
dc.titleAn unusual cause of abdominal pain.en_GB
dc.typeArticleen
dc.contributor.departmentEmergency Department, St James Hospital, Dublin, Ireland. lifesbeachy@yahoo.comen_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceLeinsteren

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