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Wednesday, June 22, 2011

TB ABSCESS of THORACIC WALL , Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

AFTER ONE YEAR BEING TREATED BY LUNG TUBERCULOSIS, A 75 YO WOMAN  DETECTED  BY HERSELF ONE MASS AT RIGHT LOWER THORACIC WALL FOR ONE MONTH.



ON ULTRASOUND THIS MASS  COMPOSES  2  CYSTIC MASSES IN CONNECTION TOGETHER  LOOK LIKE A HOUR- GLASS SHAPE ABSCESS .


CDI AND PDI SHOWED  HYPERVASCULAR  PATTERN AROUND THE WALL LESION





1. WE DID A PUNCTION AND WITHDRAW SOME FLUID WHICH WAS PUS AS CASEUM


2. LAB ANALYSIS: CYTO SMEAR AND PCR FOR TB WERE  POSITIVE

3. START TO TREAT ANTI TB AGAIN AND OPEN THE WALL ABSCESS FOR DRAINAGE.

CONCLUSION=  A HOURGLASS ABCESS OF THORACIC WALL BELONGS COMMONLY TB  ABSCESS WITH TB LUNG HISTORY.

1 comments:

Bs Lê Thanh Liêm said...

I think, This is Abscess intra-intercostal muscle

Suggestion:
Treatment by antibiotic and drainage one week later.

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