Rare image during laparoscopy: Abdominal tuberculosis.

A 66-year-old female patient was admitted to a general surgery polyclinic with abdominal pain. She was treated for pulmonary tuberculosis (PT) 28 years ago. On performing a physical examination, right upper quadrant tenderness was detected. Laboratory parameters were unremarkable. Abdominal ultrasonography (USG) findings were compatible with cholelithiasis and wall thickening of a hepatic flexure. Colonoscopy was planned with a suspicion of colon malignancy as wall thickening of the hepatic flexure, omental implants, and ascites were confirmed on performing contrastenhanced abdominal computed tomography (CT) (Figure 1). Colonoscopy revealed stenosis and ulceration in the hepatic flexure. Ulcer biopsy results were compatible with granulomatous colitis. Gastroscopy was insignificant. Laparoscopic cholecystectomy and implant biopsy were planned to be performed. During an intraoperative examination, multiple implants were seen on serosal surfaces (Figure 2). No findings associated with malignancy were found. Laparoscopic cholecystectomy and implant biopsy were performed. The postoperative course was uneventful. The patient was discharged on post-operative day 2. She was referred to a chest diseases clinic. A pathological examination revealed chronic cholecystitis and granulomatous peritonitis. Ziehl-Neelsen staining of the implant biopsy sample confirmed a final diagnosis of abdominal tuberculosis (AT). The patient completed six months of follow-up with no complications. Her treatment for AT is ongoing.