Ileocecal tuberculosis

Case contributed by Aditya Shetty
Diagnosis probable


Low grade fever associated with loss of appetite and weight loss

Patient Data

Age: 30 years
Gender: Female

Barium meal follow through study findings:

  • narrowed terminal ileum and ileocecal junction
  • dilatation of proximal ileum
  • cecum appears shrunken and 'pulled-up' away from RIF
Annotated image

Yellow arrow indicates the shrunken cecum 

Red arrow indicates stricturing and narrowing of the terminal ileum and ileocecal junction

Blue arrow indicates proximal ileal dilatation

Case Discussion

This case demonstrates the chronic stage of ileocecal tuberculosis.

The ileocecal junction is the commonest site of tuberculosis in the gastrointestinal tract.

Other sites that may be involved in the abdomen are liver, spleen and peritoneum.

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