A Rare Case of Perforation Peritonitis with Jejunal Stricture in a Patient Recently Treated for Pulmonary Tuberculosis

• Main Authors: Naveen N, Avijeet Mukherjee
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2014-12-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: abdominal tuberculosis; intestinal obstruction; intestinal stricture; perforation peritonitis
• Online Access: https://jcdr.net/articles/PDF/5346/10802_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PFA2(AK)_PF2(PAG).pdf

Abdominal tuberculosis (ATB) constitutes 12% of the extra pulmonary disease and is a rare but well-documented cause of perforation peritonitis, occasionally occurring in cases where the diagnosis has been delayed but may occur even after antituberculous therapy has been initiated. Most patients with tuberculosis strictures respond well to medical treatment and should be resorted to surgery only if drug therapy fails. Despite surgical intervention, tuberculosis perforation has a high complication and mortality rate. We present a case of 54-year-old male patient with a perforated jejunal stricture who had completed his treatment for pulmonary tuberculosis one month earlier. This case was unusual because of the age of patient at presentation (usually seen in young – 25 to 45 y), involvement of jejunum (commonly ileocaecal region), initial presentation with subacute obstruction followed by peritonitis (refused treatment at first instance) and patient having completed treatment for pulmonary tuberculosis recently.