Korean J Med.
2018 Dec;93(6):556-559. 10.3904/kjm.2018.93.6.556.
Solitary Jejunal Tuberculosis with Intestinal Obstruction in an Immunocompetent Patient
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 2Division of Gastroenterology, Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea. 4796pjhsms@naver.com
- KMID: 2438047
- DOI: http://doi.org/10.3904/kjm.2018.93.6.556
Abstract
- Intestinal tuberculosis is an infection of the gastrointestinal tract by the Mycobacterium tuberculosis complex. To the best of our knowledge, solitary intestinal tuberculosis accompanied by intestinal obstruction, particularly in the middle of the small intestine, is extremely rare. We report a case of solitary jejunal tuberculosis in a 49-year-old man with no underlying disease. He was admitted a few days after the onset of diffuse abdominal discomfort. Upon evaluation, we initially considered a malignancy of the distal jejunum with ileus due to the presence of a mass. Therefore, he underwent laparoscopic resection of the small bowel. Unexpectedly, the histologic specimen showed a chronic caseating granulomatous lesion with acid-fast bacilli. Ultimately, he was diagnosed with solitary jejunal tuberculosis. He was successfully treated with anti-tuberculosis drugs without any complications.
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