ISOLATED TUBERCULOUS JEJUNAL STRICTURE WITH ASSOCIATED PORTAL AND SUPERIOR MESENTERIC VEIN THROMBOSIS - AN EXTREMELY RARE CASE
Abstract
Tuberculosis remains a deadly global health problem, especially in developing nations. Extrapulmonary manifestations are prevalent in these endemic areas and on the contrary, are usually limited to the immunocompromised. Abdominal infection is even more exceptional, which can be problematic to clinicians in view of its non-specific presentation and investigatory findings.
In this case, a 32 year old Indian male presented with a history of abdominal pain and vomiting of one month duration, and a past history of portal vein and superior mesenteric vein thrombosis. Enteroclysis detected dilated small bowel loop and an annular stricture in the jejunum. Histology of surgically resected segment made the etiological diagnosis of tuberculosis.
Full Text:
PDFReferences
Acer T, Karnak İ, Ekinci S, Talim B, Kiper N, and Şenocak ME. (2008). “Multiple jejunoileal perforations because of intestinal involvement of miliary tuberculosis in an infant”, J Pediatr Surg, Vol.43, pp.17-21.
Bajpai M, and Gupta DK. (2006). “Abdominal tuberculosis”, in: Seth V, and Kabra SK. (ed). “Essentials of Tuberculosis in Children”, 3rd ed., Jaypee, New Delhi, pp.143-156.
Eugene C, Valla D, Wesenfelder L, Fingerhut A, Bergue A, and Merrer J, et al. (1995). “Small intestinal stricture complicating superior mesenteric vein thrombosis. A study of three cases”, Gut, Vol.37, pp.292-295.
Goldberg MF, and Kim HS. (2003). “Treatment of acute superior mesenteric vein thrombosis with percutaneous techniques”, AJR Am J Roentgenol, Vol.181, pp.1305-1307.
Mario CR, and Richard JO. (2005). “Tuberculosis”, in: Kasper DL, Fauci AS, Longo DL, Branwald E, Hauser SL, and Jameson JL. (ed). “Harrison's Principles of Internal Medicine”, 16th edition, McGraw-Hill, USA, pp.956-958.
Puri R, Khaliq A, Kumar M, Sud R, and Vasdev N. (2011). “Esophageal tuberculosis: role of endoscopic ultrasound in diagnosis”, Dis Esophagus, doi: 10.1111/j.1442-2050.2011.01223.x.
Rhee RY, and Gloviczki P. (1997). “Mesenteric venous thrombosis”, Surg Clin North Am, Vol.77, 327-338.
Sheer TA, and Coyle WJ. (2003). “Gastrointestinal tuberculosis”, Curr Gastroenterol Rep, Vol.5, pp.273-278.
Wadhwa N, Agarwal S, and Mishra K. (2004). “Reappraisal of abdominal tuberculosis”, J Indian Med Assoc, Vol.102, pp.31-32.
Wiesner W, Khurana B, Ji H, and Ros PR. (2003). “CT of acute bowel ischemia”, Radiology, Vol.226, pp.635-650.
Refbacks
- There are currently no refbacks.
Send mail to ijsss@ijsss.com with questions or comments about this web site.
International Journal of Surgery and Surgical Sciences, All rights reserved.