Ileocecal tuberculosis with intestinal obstruction
Appendectomy 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.
Cecum 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 ileocecal tuberculosis.
Patient was treated conservatively
Ileocecal tuberculosis confirmed later on biopsy.