Gastrointestinal tuberculosis

Case contributed by Dr Nathan David P. Concepcion

Presentation

This patient is a 15-year old female who is complaining of chronic diarrhea.

Patient Data

Age: 15
Gender: Female
X-ray

Radiograph of the right lower quadrant as part of the small intestinal series shows narrowing of the terminal ileum ("string sign") due to small bowel wall thickening, with a dilated more proximal ileal segment.

Case Discussion

The ileocecal region, primarily terminal ileum, is the most common area of involvement in gastrointestinal tuberculosis (TB). The terminal ileum, ileocecal junction and the cecum are concurrently involved in the majority of cases. The most common complication is obstruction due to luminal narrowing ("string sign") caused by the hyperplastic mural thickening, ileal strictures and/or by adhesions. Malabsorption is also a common complication and may present with chronic diarrhea.

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Case information

rID: 43550
Case created: 16th Mar 2016
Last edited: 16th Nov 2017
Inclusion in quiz mode: Included

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