TY - JOUR A2 - Bush, Larry M. AU - Dalugama, Chamara AU - Jayasinghe, Achila AU - Abeygunawardena, Shamali AU - Pathirage, Manoji AU - Jayalath, Thilak AU - Ralapanawa, Udaya AU - Jayasundara, S. S. AU - Wijetunga, Sulochana PY - 2020 DA - 2020/07/16 TI - Young Male Presenting with an Acute Diarrheal Illness with Unexplained Transudative Ascites: An Atypical Presentation of Appendicular Tuberculosis SP - 8835081 VL - 2020 AB - 介绍。阑尾结核累及胃肠道外结核的罕见形式。阑尾结核的诊断是困难的，因为它的非典型表现。组织学确认留在诊断的金标准。 案例展示。We report a 37-year-old Sri Lankan male presenting with a diarrheal illness with high fever for 8 days in the background of constitutional symptoms for 1-month duration. He was pale and had moderate amount of free fluid in the abdomen. Inflammatory markers were elevated, and CT abdomen revealed a thickened elongated appendix. Diagnostic paracentesis revealed a lymphocytic transudative ascites. A macroscopically minimally inflammed appendix removed at laparotomy and histology confirmed presence of tuberculous granulomata with caseation. He made an uneventful recovery by the anti-tuberculous therapy. 结论。需要怀疑的高度在阑尾结核的诊断，由于其非特异性表现，我们强调切除临床阑尾炎的情况下，阑尾的组织学评价的需要，因为它可能会提示结核病的一种罕见但可治疗的情况下的诊断。SN - 2090-6625 UR - https://doi.org/10.1155/2020/8835081 DO - 10.1155 /八百八十三万五千○八十一分之二千○二十○JF - 病例报告传染病PB - Hindawi出版KW - ER -