Tuberculous abscess - anterior abdominal wall

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Alcoholic male. Defaulter of pulmonary tuberculous treatment. C/o right upper anterior abdominal wall swelling - few days.

Patient Data

Age: about 35 yrs.
Gender: Male

A lesion with well-defined wall is noted involving transversus abdominis muscle.

Floating internal echoes are noted. Vascularity is noted in wall.

Case Discussion

Findings favor abscess involving anterior abdominal wall - transversus abdominis muscle.
No nodes / ascites / peritoneal thickening / omental thickening.

Surgery followed by lab studies done - suggesting tuberculous etiology of abscess.

 

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