Segmental colonic tuberculosis perforation as a rare cause of intraabdominal abscess: a case report

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Intestinal tuberculosis (TB) is a rare disease. Perforation is an extremely uncommon complication of mycobacterium tuberculosis infection. Herein, we present a rare case of perforated segmental colonic TB with an intraabdominal abscess focus. A 15-year-old female patient was admitted to our hospital with the complaints of abdominal pain, and intermittent vomiting. She had diffuse abdominal tenderness. The patient had a family history of pulmonary tuberculosis. During the laparotomy, a wedge resection of the area of the colon including the perforations was performed. Histopathological examination revealed epithelioid cell granulomas with Langhans type giant cells in the entire thickness of the wall of the colon and the paracolic lymph nodes, and evidence of caseation in the latter. Intestinal TB should also be kept in mind while investigating the causes of emergency surgery for conditions such as perforation, obstruction or bleeding of the intestines, especially in the endemic regions.

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Segmental colonic tuberculous , intraabdominal abscess , bowel perforation , caseation

Cumhuriyet Medical Journal

362

Cumhuriyet Medical Journal