Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

Case Reports in Surgery
Irfan MasoodSajjad Raza

Abstract

Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10-15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6-8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.

References

Mar 1, 1985·Postgraduate Medical Journal·N O Aston, A M de Costa
Jun 13, 1998·The American Journal of Gastroenterology·K D Horvath, R L Whelan
Mar 31, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cengiz AraVedat Kirimlioglu
Jan 29, 2011·World Journal of Gastroenterology : WJG·Anna Benjamin PulimoodBalakrishna Siddhartha Ramakrishna
Jan 1, 2013·World Journal of Emergency Medicine·Sanjay GuptaRobin Kaushik
Oct 31, 2014·World Journal of Gastroenterology : WJG·Uma DebiArun Kumar Sharma

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Citations

Mar 12, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Aaron VargheseRebecca Stone
Jan 14, 2017·Microbiology Spectrum·Eric H Choi, Walter J Coyle

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Methods Mentioned

BETA
X-ray

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