PRIMARY TUBERCULOSIS OF APPENDIX- A RARE CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 29
Abstract
CASE PRESENTATION A 24-year female patient presented to our hospital with complaints of pain in right lower abdomen (off/on), associated with vomiting for 3 days and moderate-to-high fever for 2 days. On initial workup, patient’s leukocyte count was 15,000/mm3. Other routine biochemical and haematological tests were normal. On abdomen examination, there was rebound tenderness on right side of iliac fossa with rebound localised to Mc Burney’s point. No past history of similar complaint. USG whole abdomen was suggestive of acute appendicitis. X-ray chest was normal. Working diagnosis of acute appendicitis was made and patient was taken for emergency appendectomy. On exploration through the gridiron incision the appendix wall was found to be thickened, enlarged, inflamed with adhesions in the periappendicular tissues and a tubercle was found only over appendix. Base was healthy, no free fluid.1 No palpable pathology was detected in the ileocaecal region and mesentery. Appendix along with lymph node was sent for histopathological examination
Authors and Affiliations
Anjani Kumar Tripathi, Osman Musa, Mamta Dwivedi, Namrata Mishra
Keywords
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