Ileocaecal tuberculosis with intestinal obstruction

Case contributed by Dr Paresh K Desai

Presentation

Appendicectomy 1 week prior. Now presents to the emergency department with acute right illiac fossa pain and abdominal distension. Patient was scanned within 1 hr of the arrival.

Patient Data

Age: 35
Gender: Female
CT

Contrast CT of the abdomen

Terminal ileal stricture with thickening. 

Caecum is deformed with thickening of its walls.

Multiple mesenteric lymph nodes in right illiac fossa.

Small bowel obstruction.

No pneumoperitoneum

Reactionary free intraperitoneal fluid.

Case Discussion

Imaging features raise a possibility of ileocaecal tuberculosis.

Patient was treated conservatively

Ileocaecal tuberculosis confirmed later on biopsy.

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Case information

rID: 17831
Case created: 16th May 2012
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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