Presentation
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.
Patient Data
Age: 35 years
Gender: Female
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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.
No pneumoperitoneum
Reactionary free intraperitoneal fluid.
Case Discussion
Imaging features raise a possibility of ileocecal tuberculosis.
Patient was treated conservatively
Ileocecal tuberculosis confirmed later on biopsy.