ABSTRACT
The isolated thoracic parietal localization is a very rare shape of tuberculosis. It often leads to a diagnosis problem with the parietal tumours requiring surgical biopsy. We report a case of tubercular abscess localized in the antero-superior part of the thoracic wall with a second abdominal localization without any pulmonary localization. It was a 56-year-old woman presenting a swelling in the right side of the sternum accompanied after some months by a second swelling of the right flank of the abdomen, for one year. The radiological and biological explorations were in favour of a double localization parietal tumour. The diagnosis of certainty has been made by the histological exam of the surgical biopsy and the bacteriological exam of the trans-parietal withdrawal of the collection. The classic tuberculosis treatment has been maintained during 9 months with a good clinico-radiological evolution. Through this observation, we try to study the anatomo-clinical particularities and to clear the diagnostic difficulties of this affection