Multiple Tubercular Intestinal Perforations: A Case Report.

Autor:	Shetty V; General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND., Mathai MJ; General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND., Ali IM; General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 07; Vol. 16 (8), pp. e66352. Date of Electronic Publication: 2024 Aug 07 (Print Publication: 2024).
DOI:	10.7759/cureus.66352
Abstrakt:	Intestinal tuberculosis (TB) is a frequently encountered pathology by surgeons all over India. There exists a vast body of knowledge about this disease; however, a detailed understanding of its presentation as well as surgical management is essential for every Indian surgeon, given its rampant nature. This report discusses the case of a 28-year-old female presenting with severe left upper abdominal pain, non-bilious vomiting, and fever, who was ultimately diagnosed with small bowel TB leading to perforations. Despite a history of pulmonary TB treated a year prior, the patient exhibited significant clinical and imaging findings, including pneumoperitoneum and peritonitis. Exploratory laparotomy revealed multiple tubercular perforations in the mid-jejunum and a stricture causing proximal jejunal dilatation. Surgical intervention involved resection of the affected segment and end-to-end anastomosis. Histopathological analysis confirmed TB as the cause. This case underscores the importance of considering TB in the differential diagnosis of small bowel perforations and highlights the critical role of timely surgical intervention and comprehensive management in improving patient outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Shetty et al.)
Databáze:	MEDLINE
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