PMC8266439_01
Abdominal computed tomography scan showing abdominopelvic mass.
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The abdominal CT scan (Figure 1) showed two contiguous, well-limited, rounded formations with thick fluid content and thin, regular walls, they measured, respectively, 20 mm at the level of the right iliac fossa and 72 mm at the abdominopelvic level, under the umbilicus.
Magnetic resonance imaging showing abdominopelvic mass.
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The pelvic magnetic resonance imaging (Figure 2) showed a median intraperitoneal pelvic mass hyposignal on T1 and hypersignal on T2 and regular parietal enhancement after injection with mural nodules, it measured 77 x 81 x 80 mm; this mass was supravesical, coming into contact with the ileal intestines, the sigmoid, and the uterus behind it, keeping a separation line.
Intraoperative view of an abdominopelvic mass with satellite nodes.
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Laparotomy exploration showed a mesenteric mass close to the ileocaecal region, solid hyper vascularized with some ileocaecal lymph nodes (Figure 3); the appendix and the ovaries appeared normal; a monobloc resection of the mass with the satellite lymph nodes was performed without intestinal resection (Figure 4).
Operative specimen showing abdominopelvic mass.
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Laparotomy exploration showed a mesenteric mass close to the ileocaecal region, solid hyper vascularized with some ileocaecal lymph nodes (Figure 3); the appendix and the ovaries appeared normal; a monobloc resection of the mass with the satellite lymph nodes was performed without intestinal resection (Figure 4).
Microscopic pathologic examination showing epitheliogigantocellular granulomatous adenitis with a large liquefied necrosis in the center (HE, G x50).
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Microscopic pathologic examination was in favor of a necrotizing granulomatous lymphadenitis which was highly indicative of tuberculosis (Figures 5 and 6).
Granulomas in variable size (HE, G x400).
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Microscopic pathologic examination was in favor of a necrotizing granulomatous lymphadenitis which was highly indicative of tuberculosis (Figures 5 and 6).