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Updated: Aug 2, 2026

Ileectomy-induced Bile Overaccumulation in Mouse Intestine
Published on: August 21, 2017
Perforation due to ileocaecal tuberculosis
Abstract:
A 40-year-old male patient was admitted in the Intensive Care Unit with complicated pulmonary tuberculosis. After 4 days he developed an acute abdomen with free air as demonstrated on plain abdominal films. A laparotomy was performed and an ileal perforation was found, located just before the ileocaecal valve. A right hemicolectomy was carried out and the resected specimen was send for further patho-anatomical examination. Our suspicion of ileocaecal perforation due to tuberculosis was confirmed. Despite further extensive medical treatment, the patient died 15 days after admission to the hospital. At autopsy, the cause of death was confirmed as being due to fulminant pulmonary tuberculosis.
Insights
Tuberculosis can cause rare abdominal complications like ileal perforation. This case highlights a fatal outcome of severe pulmonary tuberculosis with intestinal involvement.
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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