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Kim, Chun, Lee, Kim, Sung, and Kim: Rectus Abdominis Muscle Tuberculosis Involving Lung and Endometrium
Case Report

The Ewha Medical Journal 2015; 38(2): 76-79.

Published online: 29 July 2015

DOI: https://doi.org/10.12771/emj.2015.38.2.76

Rectus Abdominis Muscle Tuberculosis Involving Lung and Endometrium

Ji Yoon Kim, Eun Mi Chun, Jihyun Lee, Yookyung Kim1, Sun Hee Sung2, Yun Hwan Kim3

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

1Department of Radiology, Ewha Womans University School of Medicine, Seoul, Korea.

2Department of Pathology, Ewha Womans University School of Medicine, Seoul, Korea.

3Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Eun Mi Chun. Division of Pulmonology, Department Internal Medicine, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-5131, Fax: 82-2-2650-2559, cem@ewha.ac.kr

Received 3 April 2015       Accepted 3 June 2015

Copyright © 2015, The Ewha Medical Journal

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Extrapulmonary tuberculosis usually involves the pleura, central nervous system, lymphatic system, genitourinary system and bone with joint. There are few reports about pulmonary tuberculosis involving the endometrium and muscle. A 32-year-old woman who had intact immunity visited hospital due to menorrhagia, and was diagnosed with endometrial tuberculosis. The patient also had a painless abdominal mass about for 1 year before she came to the hospital. She was diagnosed with rectus abdominis muscle tuberculosis, endometrial tuberculosis, and pulmonary tuberculosis at the same time. We report a case of endometrial tuberculosis accompanied with rectus abdominis muscle and pulmonary tuberculosis in a non-immunosuppressed person.

Keywords: Tuberculosis, Rectus abdominis muscle, Endometrium

Figures and Tables

Fig. 1

Chest X-ray on admission. It shows a high probability of active tuberculosis in right lung with tuberculous empyema in right lower hemithorax.

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Fig. 2

Chest computed tomography scan. It shows multifocal centrilobular nodule, 'tree in bud appearance' with consolidation on both upper lobes (A). Chest computed tomography scan shows tuberculous empyema in right lower hemithorax (B).

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Fig. 3

Abdomino-pelvic computed tomography (APCT) scan on admission. It shows a well-defined cystic mass with wall formation in right rectus abdominis muscle (5×2 cm) (A). APCT scan shows irregular thickening and enhancement of pelvic parietal peritoneum (B).

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Fig. 4

Finding of transvaginal ultrasonography. It shows left ovarian complex cyst, which cannot completely exclude tuberculoma (Ov-L: ovary length; Ov-H: ovary height).

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Fig. 5

Histopathologic finding of rectus abdominis muscle. It shows chronic granulomatous inflammation, suggestive of tuberculosis (H&E, ×200).

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