Intestinal and / or peritoneal tuberculosis and its involvement in the acute abdomen.

Abstract

ABSTRACT

A clinical case of a 14-year-old patient from the Cost is presented without a pathological history with recurrent episodes of diffuse abdominal pain that exacerbates acute abdomen, so a surgical intervention is decided. During the intervention, areas of necrotic tissue and areas with inflammatory tissue are evidenced, terminal ileum resection and right hemicolectomy plus transverse anastomosis lateral term are performed, samples are sent to pathological anatomy resulting in lesions produced by the Koch bacillus at the level of peritoneum and intestine.

After the surgical intervention the diagnosis and treatment for intestinal tuberculosis is given, it was observed a favorable postoperative evolution without evidence of complications. A schematic treatment for tuberculosis is added, the patient was discharged after 10 days. Tuberculosis is a disease that for years has been called the great simulator, and in this case, it was presented as acute abdomen, requiring a surgical resection, as pulmonary tuberculosis, its treatment is based on antibiotic therapy for elimination of Koch bacillus.

Keywords: peritonitis tuberculous, abdomen acute, tuberculosis, case reports.