Ileocaecal tuberculosis

Case contributed by Dr Ian Bickle

Presentation

Young overseas worker with chronic abdominal pain and mild pyrexia.

Patient Data

Age: 35
Gender: Male
CT

The caecum and a considerable amount of terminal ileum is thick walled and enhancing.  Multiple enlarged pericolic (most retrocaecal) lymph nodes.

Case Discussion

It is often said in Europe that an abnormal terminal ileum is Crohns, Crohns, Crohns.  In Asia is it TB,TB,TB.

Well not always the case, but certainly there is a significant geographic difference for appearances which can be very similar on imaging.

This case was confirmed on endoscopic evaluation and biopsy as TB.

The abdomen is the commonest extra-pulmonary site for TB.

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Case information

rID: 23264
Case created: 1st Jun 2013
Last edited: 19th Jan 2017
Inclusion in quiz mode: Included

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