8th ANNUAL CONFERENCE OF ASSOCIATION OF SURGEONS OF INDIA

TELANGANA STATE

TS ASICON – 2022

TITLE: TUBERCULAR CHEST WALL ABSCESS IN AN IMMUNOCOMPETENT

ADULT- A RARE CASE REPORT.
Presenting Author: Dr. Abhishek Thunga
Designation: Junior Resident
Co-Author: Dr. (Col)Prasan Kumar Hota (Prof & HOD)
College: Mamata Medical College, Khammam.
Email id: abhishekthunga97@gmail.com
Mobile number: 8919206696
Conference registration ID: TSASI-180
ASI Membership No: AL2213422

I hereby declare that I have completely read the guidelines for poster presentation and I
assure that this work is carried out by me under the guidance of my HOD, and has not
been presented by me anywhere.

Signature of presenter Signature of HOD

 ABSTRACT FOR BEST POSTER AWARD

TITLE: TUBERCULAR CHEST WALL ABSCESS IN AN IMMUNOCOMPETENT ADULT- A

RARE CASE REPORT.

Aims:
To report a case of Tubercular chest wall abscess in an Immunocompetent Adult.

Case Report:
A 26 years old gentleman presented with a painless swelling of 3 months duration over the left anterior
chest wall, which had grown more rapidly during the last one month. There were no respiratory
complaints or past history of tuberculosis. Examination of chest wall revealed a large solitary oval
swelling of size 10 × 8 cm, extending vertically from clavicle to 7th intercostal space and horizontally
from sternum to mid clavicular line. FNAC of the swelling reported features consistent with abscess.
CT Image showed a hypo dense mass arising from chest muscles, extending anteriorly as a large oval
shaped thick necrotic mass of size 13.2 x 10.5 cm with smooth contour, extending into the chest by 1.4
cm from the skin surface.

At the level of left lobe of the thyroid gland, a necrotic lymph node of size 1.7 x 2.03 cm was noted
just medial & posterior to left clavicle. Left 1st anterior rib showed erosions & destruction in the
medial one third suggesting tuberculous osteomyelitis. Incision drainage of the abscess was done under
general anaesthesia & 1500 ml of pus was drained. AFB could not be isolated from the pus.
Postoperatively he was kept on ATT (2 EHRZ followed by 7 HR). Post operative course was
uneventful. The patient had completed the 9 months course of ATT (2 EHRZ + 7 HR) & on follow up,
he was asymptomatic.

Conclusion:
Tubercular chest wall abscess in an immunocompetent adult is a rare entity. Prompt diagnosis &
treatment are important to prevent serious bone & joint destruction.
 8th ANNUAL CONFERENCE OF ASSOCIATION OF SURGEONS OF INDIA

TELANGANA STATE

TS ASICON – 2022

HOD CERTIFICATION FOR POST GRADUATE STUDENTS

To

The Organising Secretary

TSASICON 2022

This is to certify that Dr. Abhishek Thunga, post graduate student of Mamata Medical
College, Khammam is permitted to present the above-mentioned poster titled
“TUBERCULAR CHEST WALL ABSCESS IN AN IMMUNOCOMPETENT
ADULT- A RARE CASE REPORT” in the 8th Annual conference of Association of
Surgeons of India, Telangana, TSASICON 2022, conducted at Chalmeda Anand Rao
Institute of Medical Sciences, Karimnagar, Telangana.

Signature of HOD