Tuberculosis (ileocaecal)

Case contributed by Dr Prashant Mudgal

Presentation

Middle aged male presented with chronic dull abdominal pain, change in bowel habit. Patient is a known case of pulmonary tuberculosis and received complete treatment.

Patient Data

Age: 57 years
Gender: Male
CT

There is focal circumferential asymmetric thickening of the terminal ileum measuring approximately 9 cm. There is mild perilesional fat stranding present. Multiple enlarged mesenteric lymph nodes are seen in right iliac fossa. There is mild free fluid is seen in the peritpneum predominantly in the right iliac fossa. Incidentally noted multiple small gall bladder calculi. NG tube and Foley's catheter are seen in situ.

In a known case of tuberculosis, imaging features are suggestive of ileocaecal tuberculosis. 

Case Discussion

GIT is one of the common site of tuberculosis. Ileocaecal region is the most common site of gastrointestinal tuberculosis. Differential diagnosis include Crohn's disease and carcinoma caecum. Endoscopy was done and  biopsy was taken which confirmed the presence of tuberculosis.

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Case information

rID: 28016
Case created: 5th Mar 2014
Last edited: 8th Dec 2015
Inclusion in quiz mode: Included

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