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Related Concept Videos

Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

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Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
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A Mouse Model of Intestinal Partial Obstruction
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Tuberculosis Peritonitis Resulting in Small Bowel Obstruction.

Hannah Clayton1, Mark Miller2

  • 1General Surgery, DeBusk College of Osteopathic Medicine, Lincoln Memorial University, Memphis, USA.

Cureus
|October 7, 2024
PubMed
Summary

Tuberculosis peritonitis is a rare cause of small bowel obstruction, often presenting with vague gastrointestinal symptoms. Early diagnosis and treatment are crucial, as complications like mechanical obstruction can still occur despite therapy.

Keywords:
bowel obstructiongastrointestinal stricturemycobacterium tuberculousnon-caseating granulomasomentectomyperitoneal tuberculosis (tb)right-sided hemicolectomytuberculosis peritonitis

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Abdominal Imaging

Background:

  • Tuberculosis (TB) peritonitis is an uncommon cause of abdominal symptoms, frequently presenting insidiously with non-specific signs.
  • Diagnosis can be challenging due to the varied clinical manifestations and potential for mimicking other intra-abdominal pathologies.

Observation:

  • A rare case of a 30-year-old woman with a history of travel to Vietnam presented with progressive upper and lower gastrointestinal distress.
  • Imaging revealed an ileal mass with characteristic enhancement and thickening, prompting further investigation.
  • Diagnostic procedures included colonoscopy and Quantiferon Gold testing, with biopsies showing noncaseating granulomatous colitis and acid-fast bacilli.

Findings:

  • The patient was diagnosed with tuberculosis peritonitis and initiated on anti-TB therapy.
  • Despite treatment, she experienced recurrent episodes of bowel obstruction, one of which ultimately necessitated surgical intervention.
  • This case highlights the diagnostic challenges and potential complications associated with TB peritonitis.

Implications:

  • Emphasizes the importance of considering tuberculosis in the differential diagnosis for patients with unexplained, worsening gastrointestinal symptoms, particularly those with relevant travel history.
  • Underscores that even with appropriate antituberculosis treatment, complications such as mechanical bowel obstruction can arise, requiring vigilant monitoring and management.
  • Highlights the need for prompt and accurate diagnosis of TB peritonitis to prevent severe morbidity and potential surgical interventions.