Abdominal tuberculosis as a cause of intestinal obstruction. A case report.

10.17605/OSF.IO/QCDSE

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Sánchez-Castrejón E. et al. Abdominal tuberculosis as a cause of intestinal obstruction. A case report. Am J Med Surg • February 2022; 7(1). 14-16

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BACKGROUND: We present a 45-year-old male patient with a history of Stage C3 AIDS that was evaluated because of abdominal pain accompanied by fever, nausea, vomiting, and obstipation. Intestinal occlusion was diagnosed and confirmed by contrast abdominal CT, an exploratory laparotomy was performed with right hemicolectomy, omentectomy and ileotransverse mechanical lateral anastomosis with the findings of intraluminal and parietal lesions in the cecum, ascending colon and ileocecal valve, which had the wall with necrotic patches, without tone and retrograde loop dilation. Histopathological report was a caseating chronic granulomatous inflammation of the intestine, peritoneum and lymph ganglia and Ziehl-Neelsen (ZN) staining positive. This patient was diagnosed with peritoneal, intestinal and lymph ganglia tuberculosis. He started antituberculous therapy with rifampicin / isoniazid / pyrazinamide / ethambutol and continued with antiretroviral therapy efavirenz / emtricitabine / tenofovir. He was discharged on the seventh postoperative day without complications. Currently, in follow-up for infectology and preventive medicine.

 

KEY WORDS: Abdominal tuberculosis, intestinal obstruction.