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Tkak H, Hamami A, Elouali A, Idri Z, Miry N, Benhaddou H, Bennani A, Kamaoui I, Babakhouya A, Rkain M. When Tuberculosis Defies Appearances: The Tale of a Deceptive Abdominal Mass on Imaging. Cureus 2024; 16:e56686. [PMID: 38646345 PMCID: PMC11032693 DOI: 10.7759/cureus.56686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2024] [Indexed: 04/23/2024] Open
Abstract
Tuberculosis poses a significant public health challenge, especially in highly endemic countries. Rarely, it appears as an abdominal mass resembling a malignant abdominal tumor and can be misleading on imaging, so early diagnosis remains a challenge, and confirmation may require invasive examinations such as laparotomy. The most characteristic radiological appearance is that of a solid, hypervascular, or peripherally enhancing mass with a hypodense center. We present a case of retroperitoneal tuberculosis that simulated a teratoma on imaging. This case highlights the diagnosis difficulties even in endemic countries, despite advances in imaging techniques such as ultrasound and computed tomography.
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Affiliation(s)
- Hassnae Tkak
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Amal Hamami
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Aziza Elouali
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Zaynab Idri
- Department of Pediatric Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Nadir Miry
- Department of Anatomopathology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Houssain Benhaddou
- Department of Pediatric Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Amal Bennani
- Department of Anatomopathology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Imane Kamaoui
- Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Abdeladim Babakhouya
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
| | - Maria Rkain
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR
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