Intestinal tuberculosis revealed by stercoral peritonitis in a patient at D3 postpartum: A case report
1 Department of Visceral Surgery, Ar-razi Hospital, CHU Mohammed VI, Faculty of Medicine and Pharmacy, CADI AYYAD University, Marrakech, Morocco.
2 Department of Pathological Anatomy, Ar-razi Hospital, CHU Mohammed VI, Faculty of Medicine and Pharmacy, CADI AYYAD University, Marrakech, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(01), 1781-1783
Article DOI: 10.30574/wjarr.2024.22.1.1242
Publication history:
Received on 13 March 2024; revised on 27 April 2024; accepted on 29 April 2024
Abstract:
Digestive tuberculosis is uncommon compared to pulmonary tuberculosis. Gastrointestinal tuberculosis accounts for 2.5% of cases of extra-pulmonary tuberculosis. Early diagnosis is not easy because of the non-specific clinical picture. We report a case of intestinal tuberculosis revealed by stercoral peritonitis in a 29- year-old patient whose CT scan showed a large pneumoperitoneum. The procedure consisted of a bowel resection, removing both perforations and performing a Bouilly volkman ileostomy. Anatomopathological examination of the operative specimen revealed ulcerated and perforated ileitis with epithelio-giganto-cellular and necrotizing granulomatous lesions suggestive of tuberculosis.
Keywords:
Intestinal tuberculosis; Digestive tuberculosis; Stercoral peritonitis; Postpartum
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