Ileocaecal tuberculosis with intestinal obstruction
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.
Contrast CT of the abdomen
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Terminal ileal stricture with thickening.
Caecum is deformed with thickening of its walls.
Multiple mesenteric lymph nodes in right illiac fossa.
Small bowel obstruction.
Reactionary free intraperitoneal fluid.
Imaging features raise a possibility of ileocaecal tuberculosis.
Patient was treated conservatively
Ileocaecal tuberculosis confirmed later on biopsy.