Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

Masood, Irfan; Majid, Zain; Rafiq, Ali; Rind, Waqas; Zia, Aisha; Raza, Sajjad

doi:10.1155/2015/318678

Cited by 10 publications

(9 citation statements)

References 8 publications

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“…Polypoid lesions mimicking colonic neoplasia may also be present [[65], [66]]. The most common complication is colonic perforation [67], [68] requiring urgent surgical intervention. Definitive diagnosis is made utilizing the testing described above.…”

Section: Colorectal Tuberculosismentioning

confidence: 99%

Tuberculosis of the gastrointestinal tract and associated viscera

Malikowski

Mahmood

Smyrk

et al. 2018

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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Tuberculosis involvement of the gastrointestinal tract, peritoneum, and associated viscera is an uncommon but well described entity. While peritoneal tuberculosis and tuberculous enteritis are more common, involvement of the esophagus, stomach, colon, rectum, anus, liver, bile ducts, gallbladder, and pancreas can occur. Diagnosis is challenging as cases often mimic neoplasm or inflammatory bowel disease. In this review we outline the pathogenesis, clinical presentation, diagnostic testing, and treatment strategies pertaining to such cases.

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Section: Colorectal Tuberculosismentioning

confidence: 99%

Tuberculosis of the gastrointestinal tract and associated viscera

Malikowski

Mahmood

Smyrk

et al. 2018

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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“…In few reported cases, the diagnosis of tubercular perforation has been made prior to laparotomy 2 . As in most of the reported series, it is difficult to make a preoperative diagnosis of tuberculosis 5 .…”

Section: Discussionmentioning

confidence: 85%

“…Perforating ulcer is treated by excision of the perforated segment with primary anastomosis [1][2][4][5] . Removing the appendix is a safe procedure even if microscopic evidence of tuberculosis is present 2 .…”

Section: Discussionmentioning

confidence: 99%

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Rima

Naser

Kabir³

et al. 2017

Bangladesh J. Infect. Dis.

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A 18 years old boy presented with severe diffuse abdominal pain, constipation, abdominal distention, fever and diagnosed as a case of perforation as free gas noted under both dome of the diaphragm. After resuscitation, exploratory laparotomy was done and diagnosed as a case of multiple spontaneous leaky perforations of jejunum and ileum 25 to 30 cm from duodeno-Jejunal flexure (DJ) up to terminal ileum. Peritoneal toileting and excisional biopsy of the mesenteric lymph node were done. Operative and postoperative period were uneventful. Histopathological examination of the resected lymph node revealed granulomatous inflammation compatible with tuberculosis. Anti-tubercular therapy was started and continued for 6 months. Patient was discharged on the 12 th postoperative day in a good condition. At 3 months of follow up the patient was asymptomatic and thriving well. Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. [Bangladesh Journal of Infectious Diseases 2016;3(2):52-54]

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“…Intestinal obstruction occurs in fewer than 10% of cases. Bowel perforation occurs in 1%–15% of cases, and most commonly occurs in the terminal ileum due to high-density lymphoid aggregates known as Peyer’s patches 9–11…”

Section: Dr Stonementioning

confidence: 99%

Peritoneal tuberculosis: the great mimicker

Varghese

Fader

Wilbur

et al. 2020

Int J Gynecol Cancer

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Case Presentation An 84-year-old woman presented to an outside institution with a 1-month history of generalized malaise, anorexia, abdominal distension, shortness of breath, and unintentional 20-pound weight loss. She had a past medical history of JAK2-positive polycythemia rubra vera, stage 4 chronic kidney disease, type 2 diabetes mellitus, and hypothyroidism. Her surgical history included a total vaginal hysterectomy and bilateral salpingo-oophorectomy in 1984. Since moving to the United States in 1972, she undertook routine visits to her native country, India. The patient's diabetes was managed with metformin/glipizide and her primary care provider had changed this regimen to sitagliptin 2 weeks prior due to worsening chronic kidney disease. On presentation, vital signs were within normal range aside from mild tachycardia. Her exam was notable for atrophy of the extremities and a protuberant abdomen with a positive fluid wave and shifting dullness. On pelvic examination, the uterus was surgically absent and there was no cul-de-sac nodularity on bimanual or rectovaginal exam. Relevant laboratory values included: hemoglobin 11.7 g/dL, white blood cell count 9850/mm 3 , platelet count 468 000 mm 3 , blood urea nitrogen 46 mg/dL, creatinine 2.5 mg/dL, albumin 2.4 g/dL, albumin-corrected calcium 12.

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Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

Cited by 10 publications

References 8 publications

Tuberculosis of the gastrointestinal tract and associated viscera

Tuberculosis of the gastrointestinal tract and associated viscera

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Peritoneal tuberculosis: the great mimicker

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