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Case Studies | Medical Science | India | Volume 12 Issue 8, August 2023
A Comprehensive Study on Primary Intestinal Tuberculosis Resulting in Perforation Peritonitis: A Case Report
Dr. Devendra Kumar [2] | Dr. Kandarp Narayan Mishra | Dr. Archana Sharma [2]
Abstract: Primary intestinal tuberculosis is usual and very common in India. It is difficult to differentiate from inflammatory bowel diseases. The author presents a rare case of severe peritonitis caused by multiple intestinal perforations in a patient with primary ileocecal tuberculosis. Initial clinical and laboratory investigations led to the suspicion of inflammatory bowel disease. The subsequent diagnostic workup included colonoscopic examination of the cecal and terminal region of the ileum with multiple biopsies. After the pathologist had assessed the specimen as indicating Crohn's disease, appropriate therapy was initiated. Several days later, however, the patient was readmitted to a surgical emergency with clinical signs of peritonitis and immediately operated on. The final diagnosis from a resection specimen confirmed the diagnosis of primary intestinal tuberculosis. The follow - up was complicated with few episodes of pain abdomen which were managed conservatively. The patient's recovery was uneventful, she underwent intensive antituberculotic therapy and is asymptomatic at present. Surgeons caring for patients with acute abdomen should be aware of tuberculous perforation peritonitis even in non - risk groups of patients.
Keywords: Primary Intestinal Tuberculosis, Perforation Peritonitis, Ileocecal Tuberculosis, Inflammatory Bowel Disease, Tuberculous Perforation
Edition: Volume 12 Issue 8, August 2023,
Pages: 198 - 199