Incidental found tuberculous peritonitis during hernioplasty

Yu-Hsin Tu; Wei-Chang Huang; Wan-Tzu Lin; Jing Tong Fu; Sheng-Chun Hung

doi:10.1093/jscr/rjaf328

Incidental found tuberculous peritonitis during hernioplasty

J Surg Case Rep. 2025 May 22;2025(5):rjaf328. doi: 10.1093/jscr/rjaf328. eCollection 2025 May.

Authors

Yu-Hsin Tu^{1

2}, Wei-Chang Huang^{3

4

5

6}, Wan-Tzu Lin^{7

8}, Jing Tong Fu⁹, Sheng-Chun Hung^{1

8

10}

Affiliations

¹ Department of Urology, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
² Department of Education, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
³ Division of Chest Medicine, Department of Internal Medicine, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
⁴ Department of Medical Technology, Jen-Teh Junior College of Medicine, Nursing and Management, NO,79-9 Sha-Luen Hu Xi-Zhou Li Hou-Loung Town, Miaoli 350, Taiwan.
⁵ Department of Life Sciences, National Chung-Hsing University, 145 Xingda Rd., South Dist., Taichung City 402202, Taiwan.
⁶ Department of Industrial Engineering and Enterprise Information, Tunghai University, No. 1727, Sec. 4, Taiwan Boulevard, Xitun District, Taichung 407224, Taiwan.
⁷ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
⁸ Post-Baccalaureate Medicine, National Chung Hsing University, 145 Xingda Rd., South Dist., Taichung City 402202, Taiwan.
⁹ Department of Pathology and Laboratory Medicine, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
¹⁰ Institute of Medicine, Chung Shan Medical University, No. 110, Section 1, Jianguo North Road, Taichung 402, Taiwan.

Abstract

We report the case of a 71-year-old male with palpable and painful left inguinal mass who underwent open hernioplasty. During the operation, ~700 ml of ascitic fluid and multiple nodules on the peritoneum were observed upon incision of the hernia sac. Culture and pathological examination confirmed a diagnosis of peritoneal tuberculosis (TB). Abdominal TB is rarely presented as a hernia. We review ten cases of abdominal TB associated with abdominal hernias and discuss surgical techniques and further management options.

Keywords: abdominal tuberculosis; hernia; peritoneal tuberculosis; peritonitis.

Publication types

Case Reports