ILEO-CAECAL SPARING PRIMARY ABDOMINAL TUBERCULOSIS WITH OBSTRUCTION: A RARE CASE PRESENTATION

Abstract

Introduction: Gastrointestinal tract is one of the primary sites of tuberculosis, Ileo-Caecal junction is the most common site involved. Patients may be asymptomatic, if symptomatic may present with vague symptoms or sometimes with features of acute intestinal obstruction. Primary intestinal tuberculosis with sparing of Ileo-Caecal junction was a rare presentation. Surgical intervention is indicated only if any complications do arise. Case presentation: we report a case of abdominal tuberculosis where initial presentation suggested features of bowel obstruction. Patient was a 54 year elderly female, presented with features of acute small bowel obstruction. Explorative laparotomy was performed and stricture was resected and histopathology conrmed the diagnosis of Koch's etiology. Patient was started on anti-tuberculosis therapy along with regular wound care. Patient was on regular follow up with no complications, recovery is uneventful. abdominal tuberculosis presents with nonspecic symptoms which often misleads to diagnosis of malignancy untilConclusion: proven by radiological imaging or histopathological conrmation. Proper diagnosis is needed with immediate use of pharmacological therapy to control further complications.