Ewha Med J.  2015 Jul;38(2):76-79. 10.12771/emj.2015.38.2.76.

Rectus Abdominis Muscle Tuberculosis Involving Lung and Endometrium

• Kim JY
• Chun EM
• Lee J
• Kim Y
• Sung SH
• Kim YH

• KMID: 2052785
• DOI: http://doi.org/10.12771/emj.2015.38.2.76

Abstract

Extrapulmonary tuberculosis usually involves the pleura, central nervous system, lymphatic system, genitourinary system and bone with joint. There are few reports about pulmonary tuberculosis involving the endometrium and muscle. A 32-year-old woman who had intact immunity visited hospital due to menorrhagia, and was diagnosed with endometrial tuberculosis. The patient also had a painless abdominal mass about for 1 year before she came to the hospital. She was diagnosed with rectus abdominis muscle tuberculosis, endometrial tuberculosis, and pulmonary tuberculosis at the same time. We report a case of endometrial tuberculosis accompanied with rectus abdominis muscle and pulmonary tuberculosis in a non-immunosuppressed person.

Keyword

Tuberculosis; Rectus abdominis muscle; Endometrium

MeSH Terms

Adult
Central Nervous System
Endometrium*
Female
Humans
Joints
Lung*
Lymphatic System
Menorrhagia
Pleura
Rectus Abdominis*
Tuberculosis*
Tuberculosis, Pulmonary
Urogenital System

Figure

• 

  Fig. 1 Chest X-ray on admission. It shows a high probability of active tuberculosis in right lung with tuberculous empyema in right lower hemithorax.

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  Fig. 2 Chest computed tomography scan. It shows multifocal centrilobular nodule, 'tree in bud appearance' with consolidation on both upper lobes (A). Chest computed tomography scan shows tuberculous empyema in right lower hemithorax (B).

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  Fig. 3 Abdomino-pelvic computed tomography (APCT) scan on admission. It shows a well-defined cystic mass with wall formation in right rectus abdominis muscle (5×2 cm) (A). APCT scan shows irregular thickening and enhancement of pelvic parietal peritoneum (B).

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  Fig. 4 Finding of transvaginal ultrasonography. It shows left ovarian complex cyst, which cannot completely exclude tuberculoma (Ov-L: ovary length; Ov-H: ovary height).

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  Fig. 5 Histopathologic finding of rectus abdominis muscle. It shows chronic granulomatous inflammation, suggestive of tuberculosis (H&E, ×200).

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