Year 2025 / Volume 117 / Number 6
Letter
A rare case of intestinal obstruction due to tuberculosis

358-359

DOI: 10.17235/reed.2024.10793/2024

Brunna Teixeira Seffrin, Arthur Becker Simões, Leonardo Hekman D'Avila, Henrique Gus,

Abstract
A 19-year-old previously healthy patient presented with severe abdominal pain. A contrast-enhanced CT scan identified ileal obstruction and lower left lung lobe changes suggestive of an inflammatory process. Diagnostic laparoscopy revealed ileal distension, hyperemia, and whitish nodules on the serosa. Acid-fast bacilli staining was positive, confirming Mycobacterium tuberculosis infection. The patient improved with a tuberculosis regimen. Intestinal TB often affects the ileocecal area and presents with symptoms like abdominal pain and obstruction. Diagnosis is confirmed by AFB staining, and treatment mirrors pulmonary TB, though surgery may be needed for complications.
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References
1. Kedia S, Das P, Madhusudhan KS, et al. Differentiating Crohn’s disease from intestinal tuberculosis. World J Gastroenterol. 2019;25(4):418-432.
2. Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol. 1998;93(5):692-696.
3. Gras Gómez Cristina María, Torres Melero Juan, Rodríguez-Perdomo Martín de Jesús, Ruiz Pardo José, Estébanez Ferrero Beatriz, Rico-Morales María del Mar, Álvarez García Antonio, Reina Duarte Ángel. Tuberculosis peritoneal mimicking colonic carcinomatosis. Rev Esp Enferm Dig 2022. doi: 10.17235/reed.2022.8990/2022
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Seffrin B, Simões A, D'Avila L, Gus H. A rare case of intestinal obstruction due to tuberculosis. 10793/2024


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Publication history

Received: 13/09/2024

Accepted: 17/09/2024

Online First: 04/10/2024

Published: 10/06/2025

Article Online First time: 21 days

Article editing time: 270 days


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