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Abdominal Tuberculosis Presenting With Small Bowel Obstruction: A Case Report
Ammara S Sahibole1, Rihab Farooq2, Hafsa M Ali3
1Department of General Practice, Dubai Academic Health Corporation, Dubai, ARE.
Cureus
|May 15, 2023
Summary
Abdominal tuberculosis (TB) is an increasing extrapulmonary form of TB. Diagnosis in this case involved surgical findings and laboratory confirmation of Mycobacterium tuberculosis, leading to antituberculous therapy.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Abdominal Medicine
Background:
- Abdominal tuberculosis (TB) is a significant manifestation of extrapulmonary TB (EXPTB), with increasing global incidence.
- High-burden regions report a notable rise in EXPTB cases, necessitating improved diagnostic strategies.
Observation:
- A 37-year-old male presented with symptoms and CT scan findings indicative of small bowel obstruction.
- Clinical examination revealed generalized abdominal tenderness.
- Surgical exploration identified extensive peritoneal deposits and adhesions between bowel loops.
Findings:
- Peritoneal biopsies confirmed the presence of Mycobacterium tuberculosis complex via acid-fast bacillus smear and culture.
- The diagnostic laparoscopy was converted to an exploratory laparotomy due to intraoperative findings.
Implications:
- This case highlights the importance of considering abdominal TB in patients with unexplained bowel obstruction, especially in endemic areas.
- Prompt diagnosis and initiation of antituberculous therapy are crucial for managing abdominal TB.
- Further research into early diagnostic markers for abdominal TB is warranted.
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