Tuberc Respir Dis.  2010 Sep;69(3):196-200.

A Case of Adult Intussusception Induced by Intestinal Tuberculosis

• Kang HS
• Kang JY
• Kang HH
• Kim HJ
• Lim KJ
• Kim SK
• Lee SH
• Moon HS
• Park JK

Abstract

Intussusception primarily occurs in children and is uncommon in adults. Moreover, intussusception caused by intestinal tuberculosis is very rare. We report a case of intussusception induced by intestinal tuberculosis. A 53-year-old man presented to our hospital with complaints of cough and sputum for 2 weeks. We started anti-tuberculosis medication as the patient's sputum acid-fast staining was positive. After 4 days of treatment, the patient developed abdominal cramping pain. Imaging studies showed ileo-ileal type intussusception. The patient underwent segmental resection of the small bowel and intestinal tuberculosis was confirmed on histological examination. He recovered after surgery and was discharged on anti-tuberculosis medication.

Keyword

Intussusception; Adult; Tuberculosis, Gastrointestinal

MeSH Terms

Adult
Child
Colic
Cough
Humans
Intussusception
Middle Aged
Sputum
Tuberculosis
Tuberculosis, Gastrointestinal

Figure

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  Figure 1 Chest X-ray shows multiple nodules and fibrotic scars in the left and right upper lungs with fluid collection in the right hemithorax.

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  Figure 2 Abdomen plain X-ray shows multiple air-fluid levels in the dilated loops suggesting small bowel obstruction.

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  Figure 3 Computed tomography scan of the abdomen shows invagination of ileum to ileum with multiple fluid-filled and dilated loops of the small bowel. Collapse of the terminal ileum and colon is also shown.

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  Figure 4 A small intestine shows the ilio-ileal intussusception (29 cm in length) with thickened wall and hemorrhagic necrotic areas.

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  Figure 5 (A) Two granulomas are located in the muscularis propria and the subserosal area (H&E stain, ×100). (B) Focal granulomatous inflammation is shown (H&E stain, ×400).

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