Abdominal tuberculosis that masked under the early postoperative septic complications

• Laparoscopic adrenalectomy can be possible factors which decrease the immunity and can cause the activation of latent infection.
• For correct diagnosis having vague clinical picture of surgical pathology of abdominal cavity organs, CT with contrast is advised to be used.
• In case with clinical picture of pus-septical complications during the early postsurgical period without the diagnosis of infection source hotbed, it is worth conducting diagnostic laparoscopy with biopsy and the following cytologic study.
• Diagnostic laparoscopy and intraoperative histological tissue study of abdominal cavity are the main points in prescribing diagnosis of abdominal tuberculosis form.

IntroductionAt the same time even laparoscopic adrenalectomy can become the source or the causing factor of a number of complications. In the following report we present the clinic case of diagnostic complications during postsurgical period of “rapid” development and signs of tuberculosis after laparoscopic adrenalectomy.Presentation of caseThe patient underwent ultrasonography and CT was found out: the tumor of right adrenal gland. Operational treatment: right laparoscopy adrenalectomy. Pathologistological conclusion: clear cell adenoma. On the fourth day there was a high temperature rise noted 38–39 °C. On the 10th day the CT, where there were no signs of free liquid abscess formation. Relaparoscopic: small amount of serous-hemorrhagic liquid in small pelvis, hyperemated peritoneum, in both − left and right liver lobes tight knots of white color. After, the patient still had hyperthermia 38 °C. Phthisiatrician consulted the patient and diagnosed abdominal tuberculosis. After six-month treatment the patient in satisfactory condition was discharged home.DiscussionBut in case of our patient’s case such visual diagnostic methods, such as CT and ultrasonography of abdominal cavity appeared to be non-informative in lymph system diagnostics due to the number of reasons.The described clinical case and literature data prove the fact, that crucial in abdominal tuberculosis form management treatment is a diagnostic laparoscopy with tissue biopsy.ConclusionLabors, as well as adrenalectomy are possible factors which decrease the immunity and can cause the activation of tuberculosis process. Diagnostic laparoscopy and intraoperative histological tissue study of abdominal cavity are the main points in prescribing diagnosis of abdominal tuberculosis form.