DIAGNOSIS DIFFICULTIES IN A RARE LOCATION OF PRIMARY PERITONEAL TUBERCULOSIS

Abstract

Peritoneal tuberculosis (TB) is a rare location of primary tuberculosis. It usually occurs associated to pulmonary tuberculosis. We report a patient case of a 78 – years-old admitted for complaints suggesting an acute pancreatitis. Biologic changes and paraclinic investigations lead to suggeste ascites due to pancreatic or neoplasic origin. CT scan suspected an abdominal wall sarcoma. Even surgical aspect of the lesions pleaded for a muscular abdominal wall sarcoma, imposing resection. Diagnosis was established after detection of giant multinucleate Laghans cells in a cazeous granuloma. The present case exemplies exemplifies a rare location of primary tuberculosis.