Small Bowel Obstruction As a Consequence of Peritoneal Tuberculosis

Autor: Amir Shams, Mohammad Hadi Niakan, Mahsa Ahadi, Majid Rasekhi Nejad, Samane Sardar Kermani
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Bulletin of Emergency and Trauma, Vol 10, Iss 4, Pp 196-200 (2022)
Druh dokumentu: article
ISSN: 2322-2522
2322-3960
DOI: 10.30476/beat.2021.91273.1277
Popis: Peritoneal tuberculosis (PTB) is a rare subset of extrapulmonary tuberculosis which account for only 0.5-1% of all cases. PTB diagnosis can be challenging due to nonspecific clinical manifestations. We present a known case of pulmonary tuberculosis that admitted to the surgery ward due to the major complaint of abdominal pain since ten days before admission. In imaging studies, positive findings favoring mechanical obstruction were detected. There were also several hypodense lesions in the liver suggestive of visceral tuberculosis. An adhesion was noted during exploratory laparotomy prior to the ileocecal valve responsible for intestinal obstruction, which was released. Pathology reports of excised tissues were consonant with the PTB diagnosis. PTB diagnosis can be challenging because of its presentation. This can delay the treatment of patients and thus increase morbidity and mortality. As a result, physicians should always be aware of the PTB diagnosis in patients with nonspecific abdominal involvement.
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