Abstract

MYERS ESMENJAUD, Jorge Andrés et al. Intestinal tuberculosis, a rare entity of acute abdomen. Acta méd. Grupo Ángeles [online]. 2022, vol.20, n.1, pp.67-70.  Epub Oct 10, 2022. ISSN 1870-7203.  https://doi.org/10.35366/103559.

Tuberculosis is an endemic infectious disease in Mexico, caused by Mycobacterium tuberculosis, an acid-fast stain-positive bacillus. The most common clinical scenarios are pulmonary affections. However, it has been reported that up to 25% of the cases may present as an extrapulmonary disease, either due to lymphatic or hematogenous dissemination, and isolated cases have been reported as an extrapulmonary primary infection. We present the case of a 62-year-old male with a 7-day history of abdominal pain associated with melena, in which multiple ileal perforations were documented in the anti-mesenteric border with a histological diagnosis of intestinal tuberculosis. This entity should be suspected in patients with chronic immunosuppressive treatment and special screening should be performed to prevent these clinical scenarios.

Keywords : Intestinal tuberculosis; intestinal perforation; acute abdomen; extrapulmonary tuberculosis.