Surgical resection of a tuberculoma in the diaphragm: a case report
Abstract Background Extrapulmonary tuberculosis commonly affects the lymphatic system, nervous system, and gastrointestinal system. Tuberculous infection in the muscle is very rare. Moreover, tuberculous infection in the diaphragm is extremely rare. We herein report a case of tuberculomas in the dia...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01554-y |
| _version_ | 1811238861023477760 |
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| author | Asato Hashinokuchi Mikihiro Kohno Keisuke Kosai Yuki Ono Naoki Haratake Daiki Shibata Hidetaka Yamamoto Tomoyoshi Takenaka Tomoharu Yoshizumi |
| author_facet | Asato Hashinokuchi Mikihiro Kohno Keisuke Kosai Yuki Ono Naoki Haratake Daiki Shibata Hidetaka Yamamoto Tomoyoshi Takenaka Tomoharu Yoshizumi |
| author_sort | Asato Hashinokuchi |
| collection | DOAJ |
| description | Abstract Background Extrapulmonary tuberculosis commonly affects the lymphatic system, nervous system, and gastrointestinal system. Tuberculous infection in the muscle is very rare. Moreover, tuberculous infection in the diaphragm is extremely rare. We herein report a case of tuberculomas in the diaphragm and posterior mediastinum that were successfully diagnosed and treated. Case presentation We encountered a 62-year-old woman with a tuberculoma in the diaphragm. The patient presented with mild dyspnea. Computed tomography showed a mass in the left diaphragm, focal thickening of the posterior mediastinum, and multiple nodules in the lungs. Positron emission tomography–computed tomography showed increased uptake in the left diaphragm mass and thickening of the posterior mediastinum; therefore, we considered the masses to be malignant and planned surgical resection. However, the patient was diagnosed with tuberculosis from a sputum culture, and she was treated with anti-tuberculous therapy. The masses in the diaphragm and posterior mediastinum had become enlarged after 6 months of anti-tuberculous therapy; therefore, the patient underwent resection of both masses. Tuberculous infection was histologically confirmed in each lesion. She was pathologically diagnosed with tuberculous abscesses in the diaphragm and posterior mediastinum and began treatment with anti-tuberculosis drugs. Conclusions Preoperative diagnosis of a tuberculoma in the diaphragm is usually difficult, and surgical intervention is important for both diagnosis and treatment. |
| first_indexed | 2024-04-12T12:49:46Z |
| format | Article |
| id | doaj.art-94ee29662903484c9977f10b19dabdc7 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-04-12T12:49:46Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-94ee29662903484c9977f10b19dabdc72022-12-22T03:32:31ZengSpringerOpenSurgical Case Reports2198-77932022-10-01811610.1186/s40792-022-01554-ySurgical resection of a tuberculoma in the diaphragm: a case reportAsato Hashinokuchi0Mikihiro Kohno1Keisuke Kosai2Yuki Ono3Naoki Haratake4Daiki Shibata5Hidetaka Yamamoto6Tomoyoshi Takenaka7Tomoharu Yoshizumi8Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Anatomic Pathology and Pathological Sciences, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Anatomic Pathology and Pathological Sciences, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityAbstract Background Extrapulmonary tuberculosis commonly affects the lymphatic system, nervous system, and gastrointestinal system. Tuberculous infection in the muscle is very rare. Moreover, tuberculous infection in the diaphragm is extremely rare. We herein report a case of tuberculomas in the diaphragm and posterior mediastinum that were successfully diagnosed and treated. Case presentation We encountered a 62-year-old woman with a tuberculoma in the diaphragm. The patient presented with mild dyspnea. Computed tomography showed a mass in the left diaphragm, focal thickening of the posterior mediastinum, and multiple nodules in the lungs. Positron emission tomography–computed tomography showed increased uptake in the left diaphragm mass and thickening of the posterior mediastinum; therefore, we considered the masses to be malignant and planned surgical resection. However, the patient was diagnosed with tuberculosis from a sputum culture, and she was treated with anti-tuberculous therapy. The masses in the diaphragm and posterior mediastinum had become enlarged after 6 months of anti-tuberculous therapy; therefore, the patient underwent resection of both masses. Tuberculous infection was histologically confirmed in each lesion. She was pathologically diagnosed with tuberculous abscesses in the diaphragm and posterior mediastinum and began treatment with anti-tuberculosis drugs. Conclusions Preoperative diagnosis of a tuberculoma in the diaphragm is usually difficult, and surgical intervention is important for both diagnosis and treatment.https://doi.org/10.1186/s40792-022-01554-yTuberculomaDiaphragmExtrapulmonary tuberculosisParadoxical reaction |
| spellingShingle | Asato Hashinokuchi Mikihiro Kohno Keisuke Kosai Yuki Ono Naoki Haratake Daiki Shibata Hidetaka Yamamoto Tomoyoshi Takenaka Tomoharu Yoshizumi Surgical resection of a tuberculoma in the diaphragm: a case report Surgical Case Reports Tuberculoma Diaphragm Extrapulmonary tuberculosis Paradoxical reaction |
| title | Surgical resection of a tuberculoma in the diaphragm: a case report |
| title_full | Surgical resection of a tuberculoma in the diaphragm: a case report |
| title_fullStr | Surgical resection of a tuberculoma in the diaphragm: a case report |
| title_full_unstemmed | Surgical resection of a tuberculoma in the diaphragm: a case report |
| title_short | Surgical resection of a tuberculoma in the diaphragm: a case report |
| title_sort | surgical resection of a tuberculoma in the diaphragm a case report |
| topic | Tuberculoma Diaphragm Extrapulmonary tuberculosis Paradoxical reaction |
| url | https://doi.org/10.1186/s40792-022-01554-y |
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