Intestinal Tuberculosis Presenting as an Ileocecal Mass in a Renal Transplant Patient

Abdominal tuberculosis accounts for approximately 5% of tuberculosis cases. However, recognition of this entity can be challenging in the absence of concomitant pulmonary involvement. Immunocompromised and immunosuppressed patients are at elevated risk for this infection and are confronted with increased side effects, drug interactions, and disease complications. We report the case of a 53-year-old female renal transplant recipient with a remote history of tuberculosis exposure who presented with sepsis and abdominal pain and was found to have an obstructive ileocecal mass. Serologic and pathologic testing ultimately led to the diagnosis of abdominal tuberculosis, and she was treated successfully with a course of antimycobacterial therapy with only minor complications.