Publication: Cecal Perforation Following Intraperitoneal Abscess after Anti-tubercular Therapy: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Abdominal tuberculosis is defined as infection of gastrointestinal tract, peritoneum, abdominal solid organs, and/or abdominal lymphatics constituting approximately 12% of extra-pulmonary tuberculosis cases. Intestinal perforation is an acute presentation of abdominal tuberculosis. Intestinal perforation can occur before or at the beginning of anti-tubercular therapy. It is considered to be a paradoxical reaction if it occurs during or after treatment. Intestinal perforation is uncommon but serious and life-threatening as complication-mortality rate secondary to perforation are estimated to be >30%. We present a case of an 18-year-old female who developed cecal perforation following an intraperitoneal abscess after completion of anti-tubercular therapy for intestinal tuberculosis. She was a known case of intestinal tuberculosis. She had undergone pigtail catheterisation for an intraperitoneal abscess and completed 18 months of anti-tubercular therapy after which she developed cecal perforation. A paradoxical response was observed following the completion of anti-tubercular therapy. Early diagnosis and treatment reduce the complications and mortality rates of cecal perforation due to abdominal tuberculosis.
Description
Parikshit Prasai
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Anjali Joshi
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Santosh Poudel
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Sarjan K.C.
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Rabin Pahari
Department of Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords
Case reports, Cecum, Intestinal perforation, Tuberculosis