Ileocecal 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. 

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.

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Case information

rID: 17831
Published: 16th May 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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