ABSTRACT
Double localization of tuberculosis is a rare finding among immunocompetent patients. Intestinal tuberculosis is a rare condition and its diagnosis remains a challenge to the physician. We present the case of a 21 year old male patient with intestinal tuberculosis in which the first manifestation was an acute appendicitis. Ultrasound findings were an abscessed appendicular mass. The surgical intervention found a granulomatous aspect of the peritoneum and total necrosis of the appendix. Histopathological examination confirmed the diagnosis and the pulmonary radiography detected the concomitant pulmonary tuberculosis.
Subject(s)
Appendicitis/diagnostic imaging , Tuberculosis, Gastrointestinal/diagnostic imaging , Ultrasonography/methods , Abscess , Adult , Appendicitis/complications , Appendicitis/pathology , Appendicitis/surgery , Appendix/diagnostic imaging , Appendix/surgery , Humans , Male , Necrosis , Tuberculosis, Gastrointestinal/complications , Tuberculosis, Gastrointestinal/surgery , Young AdultABSTRACT
The mortality of patients with morbid obesity is 2 to 12 times higher according to age, comorbidities and the degree of obesity. Surgical treatment has proved to be the only type of treatment that has led to favorable long-term results. We present the therapeutic strategy used in a 39 year old obese patient with BMI=39.8 kg/sqm type 2 diabetes mellitus, arterial hypertension, severe hypercholesterolemia, nonalcoholic steatohepatitis and metabolic syndrome. The patient underwent laparoscopic gastric banding with adjustable silicon band.
