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Multiple intestinal perforations as a primary manifestation of abdominal tuberculosis in a HIV-infected patient

Amir Hossein Sarrami1, Mohsen Sharifi1, Majid Ahsan1

  • 1Isfahan University of Medical Sciences, Isfahan, Iran.

Journal of Surgical Case Reports
|June 20, 2014
PubMed

Insights

Abdominal tuberculosis, a serious complication, can lead to intestinal perforation even during treatment. This case highlights emergency surgery for multiple ileal perforations in a young man with abdominal pain.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Abdominal tuberculosis (TB) is a significant form of extrapulmonary TB.
  • Intestinal perforation is a rare but severe complication of abdominal TB.
  • This complication can manifest even during anti-TB therapy.

Purpose of the Study:

  • To report a case of multiple distal ileum perforations due to abdominal tuberculosis.
  • To emphasize the potential for perforation as a complication of abdominal TB.

Main Methods:

  • Case report of a 30-year-old male patient.
  • Clinical presentation of acute abdominal pain.
  • Surgical intervention for multiple intestinal perforations.

Main Results:

  • The patient presented with a three-day history of abdominal pain.
  • Emergency surgery revealed multiple perforations in the distal ileum.
  • Diagnosis was attributed to abdominal tuberculosis.

Conclusions:

  • Abdominal tuberculosis can present with life-threatening complications like perforation.
  • Prompt surgical management is crucial for intestinal perforations secondary to TB.
  • Awareness of this complication is vital for timely diagnosis and treatment.

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