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Abdominal Tuberculosis Complicated by Intestinal Perforation.

Michiel L Sala¹, Samuel M Verhage², Frank Zijta¹

¹Department of Radiology, Haaglanden Medical Center, The Hague, Netherlands.

Case Reports in Gastrointestinal Medicine

|February 25, 2021

Summary

Abdominal tuberculosis, though rare, is increasing in developed nations. This case highlights intestinal tuberculosis complications, emphasizing early recognition and surgical intervention for better outcomes.

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Area of Science:

Gastroenterology
Infectious Diseases
Surgical Oncology

Background:

Abdominal tuberculosis (TB) incidence is rising in developed countries, often involving the peritoneum.
Risk factors include prior TB infection and endemic area residence/travel.
Abdominal TB requires consideration in patients with relevant symptoms and risk factors.

Observation:

A case of intestinal tuberculosis presented with a complicated disease course post-treatment.
Persisting abdominal symptoms post-treatment suggested subclinical intestinal obstruction.
The patient experienced complications despite completing standard treatment.

Findings:

Intestinal tuberculosis can lead to severe complications like obstruction and perforation.
Subclinical intestinal obstruction may manifest as persistent abdominal symptoms.
Delayed recognition of complications can lead to poor patient outcomes.

Implications:

Early clinical recognition of abdominal TB complications is crucial.
Prompt surgical intervention may prevent severe outcomes such as intestinal perforation.
This case underscores the importance of vigilant monitoring even after TB treatment completion.