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Multiple intestinal strictures with perforation in a patient under antitubercular treatment for abdominal

M T Sherpa1, R Shrestha, P M Limbu

  • 1Xenomed Foundation, Nepal. mingma.thsering@gmail.com

Journal of Nepal Health Research Council
|June 22, 2013
PubMed
Abstract

Insights

Abdominal tuberculosis (TB) can cause serious complications like intestinal perforation and strictures. Surgery may be necessary even during antitubercular treatment if obstruction or peritonitis develops.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Oncology

Background:

  • Abdominal tuberculosis (TB) accounts for 12% of extrapulmonary TB cases.
  • Common symptoms include abdominal pain, mass, ascites, and obstruction.
  • Intestinal perforation is a rare but severe complication.

Observation:

  • A patient undergoing antitubercular treatment developed multiple intestinal strictures.
  • The patient subsequently experienced intestinal perforation.

Findings:

  • Antitubercular drugs' efficacy is debated in stenotic bowel lesions.
  • Surgical intervention becomes essential for bowel obstruction or peritonitis.

Implications:

  • Highlights the potential for severe complications in abdominal TB despite treatment.
  • Underscores the critical role of surgical management in specific abdominal TB scenarios.
  • Suggests a need for careful monitoring for strictures and perforation in patients with abdominal TB.

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