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Updated: May 21, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

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Published on: October 25, 2024

Bowel obstruction caused by intestinal tuberculosis: an update.

Nimesh Patel¹, Chandni Ondhia, Shabbir Ahmed

¹Orthopaedics Department, East Kent Hospitals NHS Trust, London, Norbury, UK. dr.nimeshpatel1@gmail.com

BMJ Case Reports

|June 8, 2012

Summary

Abdominal tuberculosis can mimic Crohn's disease or cancer, presenting diagnostic challenges. Early surgical intervention combined with antitubercular therapy is a safe and effective management strategy for intestinal obstruction caused by abdominal tuberculosis.

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Last Updated: May 21, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

Area of Science:

Infectious Diseases
Gastroenterology
Surgical Oncology

Background:

Tuberculosis (TB) remains a significant global communicable disease with rising UK incidence.
Abdominal TB accounts for 11% of extrapulmonary TB cases, often posing diagnostic difficulties.
High-risk populations require consideration of abdominal TB over conditions like Crohn's disease or GI malignancy.

Observation:

A case report details a 31-year-old Sudanese female with intestinal obstruction due to abdominal TB.
Imaging demonstrated multifocal TB in the ileo-caecal region with lymphadenopathy.
The patient underwent a right hemicolectomy and completed antitubercular therapy.

Findings:

Abdominal tuberculosis can present as a mass causing intestinal obstruction.
Multifocal involvement and lymphadenopathy are key imaging findings.
Surgical intervention is a safe option when clinical suspicion is high.

Implications:

Abdominal TB diagnosis necessitates a high index of suspicion in at-risk individuals.
A combined approach of conservative surgery and 12-month antitubercular therapy is recommended.
This case highlights the importance of considering TB in differential diagnoses of abdominal masses and obstructions.