Solitary Abdominal Wall Tuberculosis: A Rare Complication in a Type 2 Diabetic Patient

Abstract

Solitary abdominal wall tuberculosis is a rare and often misdiagnosed form of extrapulmonary tuberculosis, primarily due to its non specific clinical presentation. It can mimic neoplastic or pyogenic lesions, leading to frequent misdiagnosis or delayed identification. A high index of suspicion is crucial, especially in patients with risk factors such as immunosuppression, poorly controlled diabetes, or living in endemic areas. We present the case of a 43-year-old man who initially had a chronic, painless abdominal wall mass that later became symptomatic. Pathological examination of the biopsy confirmed a tuberculous granuloma, highlighting the importance of thorough evaluation when encountering atypical soft tissue masses.