[Resection of a Tuberculous Abscess of the Thoracic Wall].

ABSTRACT

The patient was a 76-year-old man. Chest computed tomography revealed an abscess of the chest wall incidentally. Mycobacterium tuberculosis was detected by the aspiration of the abscess. Since the abscess cavity exhibited a larger trend in spite of 3 months of antituberculosis chemotherapy, surgical resection was performed. During the operation, indigo stain was injected thorough an aspiration tube to visualize the spread of the abscess. The abscess was completely resected with combined partial resection of the 7th, 8th, and 9th ribs, and the diaphragm. The patient has been well without recurrence of the lesion for 8 months after surgery with 3 months of adjuvant antituberculosis chemotherapy.