Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis
Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requi...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/318678 |
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| _version_ | 1832561004813221888 |
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| author | Irfan Masood Zain Majid Ali Rafiq Waqas Rind Aisha Zia Sajjad Raza |
| author_facet | Irfan Masood Zain Majid Ali Rafiq Waqas Rind Aisha Zia Sajjad Raza |
| author_sort | Irfan Masood |
| collection | DOAJ |
| description | Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before. |
| format | Article |
| id | doaj-art-2e997ca72a02465193cb1b8ea893751f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-2e997ca72a02465193cb1b8ea893751f2025-02-03T01:26:10ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/318678318678Multiple, Pan-Enteric Perforation Secondary to Intestinal TuberculosisIrfan Masood0Zain Majid1Ali Rafiq2Waqas Rind3Aisha Zia4Sajjad Raza5General Surgery, Civil Hospital Karachi, Karachi 74200, PakistanDow University of Health Sciences, Karachi 74200, PakistanGeneral Surgery, Civil Hospital Karachi, Karachi 74200, PakistanGeneral Surgery, Civil Hospital Karachi, Karachi 74200, PakistanDow University of Health Sciences, Karachi 74200, PakistanDow University of Health Sciences, Karachi 74200, PakistanFree perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.http://dx.doi.org/10.1155/2015/318678 |
| spellingShingle | Irfan Masood Zain Majid Ali Rafiq Waqas Rind Aisha Zia Sajjad Raza Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis Case Reports in Surgery |
| title | Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis |
| title_full | Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis |
| title_fullStr | Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis |
| title_full_unstemmed | Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis |
| title_short | Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis |
| title_sort | multiple pan enteric perforation secondary to intestinal tuberculosis |
| url | http://dx.doi.org/10.1155/2015/318678 |
| work_keys_str_mv | AT irfanmasood multiplepanentericperforationsecondarytointestinaltuberculosis AT zainmajid multiplepanentericperforationsecondarytointestinaltuberculosis AT alirafiq multiplepanentericperforationsecondarytointestinaltuberculosis AT waqasrind multiplepanentericperforationsecondarytointestinaltuberculosis AT aishazia multiplepanentericperforationsecondarytointestinaltuberculosis AT sajjadraza multiplepanentericperforationsecondarytointestinaltuberculosis |