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Updated: Apr 24, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

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Free tubercular perforation of the ileum

Sanjay Gupta1, Mayank Jayant1, Robin Kaushik1

  • 1Department of Surgery, Government Medical College and Hospital, Chandigarh, India.

World Journal of Emergency Medicine
|September 13, 2014
PubMed
Abstract

Insights

Small bowel perforation can be caused by tuberculosis, even without a primary focus. Early diagnosis through surgical margin biopsy is crucial for effective anti-tubercular therapy and patient recovery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Peritonitis resulting from small bowel perforation is a frequent global surgical emergency.
  • Ileal perforation requires prompt surgical intervention.

Observation:

  • A young male patient presented with ileal perforation, which underwent primary repair.
  • Post-operatively, the patient experienced an uneventful recovery.

Findings:

  • Histopathological examination of the perforation margins revealed tuberculosis.
  • No primary focus of tuberculosis was identified despite extensive investigation.
  • The patient initiated anti-tubercular therapy and showed positive outcomes.

Implications:

  • This case highlights the critical role of surgical margin biopsies in diagnosing ileal perforations.
  • Biopsy analysis is essential to prevent misdiagnosis, especially in cases of obscure tuberculosis.
  • Timely diagnosis and treatment of intestinal tuberculosis can lead to favorable patient prognoses.
Keywords:
IleumPerforationPeritonitisTuberculosis

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