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Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
[Gastrointestinal tuberculosis--case report]
Darko Kosćak1, Josip Lovrić, Damir Koprek
1Djelatnost za kirurgiju, Opća bolnica Bjelovar, Bjelovar, Hrvatska. darko.koscak@bj.t-com.hr
Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|November 30, 2007
Summary
This case study highlights a rare instance of isolated gastrointestinal tuberculosis (GI-TB) in the ileocecal region. Surgical intervention and confirmed diagnosis of Mycobacterium tuberculosis led to successful patient recovery without recurrence.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Oncology
Background:
- Isolated gastrointestinal tuberculosis (GI-TB) is rare, typically affecting the ileocecal region.
- GI-TB can present with symptoms mimicking Crohn's disease or ileocecal cancer, complicating diagnosis.
- Intraperitoneal tuberculosis (IP-TB) often requires surgical management due to potential complications like obstruction and perforation.
Observation:
- A 35-year-old female with a history of pulmonary and laryngeal tuberculosis presented with ileus.
- Surgical exploration revealed significant stenoses in the terminal ileum and cecum.
- Diagnosis was confirmed by identifying Mycobacterium tuberculosis in tissue and stool samples.
Findings:
- Surgical treatment involved a two-stage approach: L-L ileotransverse anastomosis followed by resection.
- Histological examination confirmed Mycobacterium tuberculosis in resected tissue and stool.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- This case underscores the importance of considering GI-TB in patients with a history of tuberculosis presenting with abdominal symptoms.
- Accurate diagnosis relies on microbiological confirmation.
- Surgical management can be effective for complicated GI-TB, with potential for long-term recovery.
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