Primary tubercular caecal perforation: a rare clinical entity

Intestinal tuberculosis is a common problem in endemic areas, causing considerable morbidity and mortality. An isolated primary caecal perforation of tubercular origin is exceptionally uncommon. We report the case of a 39 year old male who presented with features of perforation peritonitis, which on...

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Bibliographic Details
Published in:BMC surgery 2010-03, Vol.10 (1), p.12-12, Article 12
Main Authors: Jain, Devendra K, Aggarwal, Gaurav, Lubana, Parvinder S, Moses, Sonia, Joshi, Nitin
Format: Article
Language:English
Subjects:
Adult
Care and treatment
Case report
Case studies
Cecum - microbiology
Colorectal diseases
Diagnosis
Gastrointestinal diseases
Humans
Intestinal Perforation - etiology
Intestinal Perforation - microbiology
Male
Peritonitis - etiology
Peritonitis - microbiology
Tuberculosis - complications
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Summary:Intestinal tuberculosis is a common problem in endemic areas, causing considerable morbidity and mortality. An isolated primary caecal perforation of tubercular origin is exceptionally uncommon. We report the case of a 39 year old male who presented with features of perforation peritonitis, which on laparotomy revealed a caecal perforation with a dusky appendix. A standard right hemicolectomy with ileostomy and peritoneal toileting was done. Histopathology revealed multiple transmural caseating granulomas with Langerhans-type giant cells and acid-fast bacilli, consistent with tuberculosis, present only in the caecum. We report this extremely rare presentation of primary caecal tuberculosis to sensitize the medical fraternity to its rare occurrence, which will be of paramount importance owing to the increasing incidence of tuberculosis all over the world, especially among the developing countries.
ISSN:1471-2482
1471-2482
DOI:10.1186/1471-2482-10-12