# A Rare Case of Tuberculosis Revealed by Acute Appendicitis: A Case Report

## TL;DR

A rare case of tuberculosis in the appendix was diagnosed through histopathological examination after a patient presented with acute appendicitis symptoms.

## Contribution

This case emphasizes the diagnostic value of histopathological analysis in identifying rare forms of tuberculosis.

## Key findings

- A 26-year-old woman was diagnosed with tubercular appendicitis after histopathological examination.
- Histopathological analysis of appendicectomy specimens can reveal rare diseases like primary TB of the appendix.

## Abstract

According to the World Health Organization (WHO), tuberculosis (TB) is the 13th cause of death worldwide and the second infectious killer after HIV. It is an endemic disease in Morocco. Isolated appendicular TB is an uncommon form of extrapulmonary TB. We report a case of a 26-year-old woman admitted for acute abdominal pain in the right iliac fossa with fever, vomiting, and diarrhea. Physical examination and abdominal ultrasound confirmed appendicitis. Surgery was performed and revealed on histopathological examination of the resected appendix the diagnosis of tubercular appendicitis. The patient was initiated on the conventional antitubercular regimen for six months and would be followed up appropriately. This case report highlights the importance of histopathological examination of appendicectomy specimens in order to diagnose rare diseases such as primary TB of the appendix.