Appendicular tuberculosis: The resurgence of an old disease with difficult diagnosis

Figure 1 CT scan pre-operative images and histopathological images. A: CT-scan image showing relevant amount of fluid in the Douglas; B: CT-scan image showing clear thickening of the appendicular wall (arrows) and “target” image as an evident sign of appendicitis; C, D: Histopathological aspects of the bioptic and resected samples.

Figure 2 Specimen after laparotomy. A: Diffuse military aspect, simulating a peritoneal carcinosis; B: Tenacious adhesions in the appendix-ileum-blind gut region; C: Diffuse inflammatory, hyperemic and edematous aspects of the intestine.