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Abdominal Tuberculosis Managed Surgically in the Late Phase: A Case Report
1Department of Medicine Yee-Zen Hospital Taoyuan Taiwan.
Journal of Acute Medicine
|September 30, 2020
Summary
Abdominal tuberculosis (TB) presents diagnostic challenges, often mimicking other bowel diseases. This case underscores the critical need for early detection and prompt treatment to prevent severe complications and improve patient outcomes in systemic TB.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Abdominal Imaging
Background:
- Abdominal tuberculosis (TB) affects 1-5% of TB cases, primarily young adults, presenting with non-specific symptoms.
- Delayed diagnosis of abdominal TB is common due to its resemblance to other gastrointestinal disorders, leading to increased morbidity and mortality.
Observation:
- A 27-year-old male presented with fever and abdominal pain, initially suspected for pulmonary TB based on chest X-ray.
- Computed tomography and exploratory laparotomy revealed abdominal TB with intestinal obstruction, ascites, and lymphadenopathy.
Findings:
- Surgical intervention via segmental resection was performed.
- The patient unfortunately succumbed to complications including recurrent small intestine perforation, severe bleeding, and sepsis.
Implications:
- This case highlights the diagnostic and therapeutic challenges in managing systemic tuberculosis.
- Emphasizes the necessity of early diagnosis and timely intervention for successful management of abdominal TB.
