TITLE:
Intestinal Tuberculosis Revealed by Generalized Acute Peritonitis
AUTHORS:
Choukri El Mehdi, Fatima Zahra Bensardi, Khalid El Hattabi, Mounir Bouali, Abdelilah El Bakouri, Abdelaziz Fadil, Sara Nacer, Mohamed Tahiri, Fatima Zahra El Rhaoussi, Fouad Haddad, Wafaa Hliwa, Ahmed Bellabah, Wafaa Badre
KEYWORDS:
Tuberculosis, Peritonitis, Intestinal Resection, Anti-Tuberculous Therapy
JOURNAL NAME:
Open Access Library Journal,
Vol.9 No.9,
September
14,
2022
ABSTRACT: Tuberculosis (TB) remains a worldwide problem. Intestinal TB (ITB) is a serious public health problem in developing countries and has been associated with significant morbidity and mortality. TB is challenging due to the lack of specific clinical and laboratory features. At present, a combination of clinical, endoscopic, radiological, and pathological features continues to be the key to diagnosing ITB. The surgical forms, in particular perforation, are mainly due to the delayed diagnostic. We report the case of a 27-year-old man admitted to a generalized peritonitis table. Surgical exploration revealed a perforation of the jejunum and the histopathological examination found a caseating granulomatous inflammation related to an ITB. Small bowel perforation due to tuberculosis is rare and consequent tendency to concentrate on other causes of viscus perforation. Even if treatment is based on anti-tuberculous quadri therapy.