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Perforation due to ileocaecal tuberculosis.

E Meir¹, J Leijs, J Iarchy

¹Department of General Surgery, A.Z. St. Elisabeth, Antwerp, Belgium.

Acta Chirurgica Belgica

|December 3, 1999

Summary

Tuberculosis can cause rare abdominal complications like ileal perforation. This case highlights a fatal outcome of severe pulmonary tuberculosis with intestinal involvement.

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Area of Science:

Medicine
Gastroenterology
Infectious Diseases

Background:

Pulmonary tuberculosis (TB) is a common infectious disease.
Intestinal tuberculosis is a less common but serious manifestation of TB.

Observation:

A 40-year-old male with complicated pulmonary TB developed an acute abdomen.
Abdominal imaging revealed free air, indicating perforation.
Laparotomy identified an ileal perforation near the ileocaecal valve.

Findings:

The ileal perforation was confirmed to be tuberculosis-related.
A right hemicolectomy was performed.
Despite treatment, the patient succumbed to fulminant pulmonary TB.

Implications:

This case underscores the potential for gastrointestinal complications in pulmonary TB.
Early recognition of abdominal symptoms in TB patients is crucial.
Intestinal TB requires prompt diagnosis and management to improve outcomes.

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