Cargando…
Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report
Abdominal tuberculosis is defined as infection of gastrointestinal tract, peritoneum, abdominal solid organs, and/or abdominal lymphatics constituting approximately 12% of extra-pulmonary tuberculosis cases. Intestinal perforation is an acute presentation of abdominal tuberculosis. Intestinal perfor...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Journal of the Nepal Medical Association
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088985/ https://www.ncbi.nlm.nih.gov/pubmed/37203965 http://dx.doi.org/10.31729/jnma.8042 |
_version_ | 1785022670844198912 |
---|---|
author | Prasai, Parikshit Joshi, Anjali Poudel, Santosh K.C., Sarjan Pahari, Rabin |
author_facet | Prasai, Parikshit Joshi, Anjali Poudel, Santosh K.C., Sarjan Pahari, Rabin |
author_sort | Prasai, Parikshit |
collection | PubMed |
description | Abdominal tuberculosis is defined as infection of gastrointestinal tract, peritoneum, abdominal solid organs, and/or abdominal lymphatics constituting approximately 12% of extra-pulmonary tuberculosis cases. Intestinal perforation is an acute presentation of abdominal tuberculosis. Intestinal perforation can occur before or at the beginning of anti-tubercular therapy. It is considered to be a paradoxical reaction if it occurs during or after treatment. Intestinal perforation is uncommon but serious and life-threatening as complication-mortality rate secondary to perforation are estimated to be >30%. We present a case of an 18-year-old female who developed cecal perforation following an intraperitoneal abscess after completion of anti-tubercular therapy for intestinal tuberculosis. She was a known case of intestinal tuberculosis. She had undergone pigtail catheterisation for an intraperitoneal abscess and completed 18 months of anti-tubercular therapy after which she developed cecal perforation. A paradoxical response was observed following the completion of antitubercular therapy. Early diagnosis and treatment reduce the complications and mortality rates of cecal perforation due to abdominal tuberculosis. |
format | Online Article Text |
id | pubmed-10088985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Journal of the Nepal Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-100889852023-04-12 Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report Prasai, Parikshit Joshi, Anjali Poudel, Santosh K.C., Sarjan Pahari, Rabin JNMA J Nepal Med Assoc Case Report Abdominal tuberculosis is defined as infection of gastrointestinal tract, peritoneum, abdominal solid organs, and/or abdominal lymphatics constituting approximately 12% of extra-pulmonary tuberculosis cases. Intestinal perforation is an acute presentation of abdominal tuberculosis. Intestinal perforation can occur before or at the beginning of anti-tubercular therapy. It is considered to be a paradoxical reaction if it occurs during or after treatment. Intestinal perforation is uncommon but serious and life-threatening as complication-mortality rate secondary to perforation are estimated to be >30%. We present a case of an 18-year-old female who developed cecal perforation following an intraperitoneal abscess after completion of anti-tubercular therapy for intestinal tuberculosis. She was a known case of intestinal tuberculosis. She had undergone pigtail catheterisation for an intraperitoneal abscess and completed 18 months of anti-tubercular therapy after which she developed cecal perforation. A paradoxical response was observed following the completion of antitubercular therapy. Early diagnosis and treatment reduce the complications and mortality rates of cecal perforation due to abdominal tuberculosis. Journal of the Nepal Medical Association 2023-02 2023-02-28 /pmc/articles/PMC10088985/ /pubmed/37203965 http://dx.doi.org/10.31729/jnma.8042 Text en © The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Prasai, Parikshit Joshi, Anjali Poudel, Santosh K.C., Sarjan Pahari, Rabin Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title | Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title_full | Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title_fullStr | Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title_full_unstemmed | Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title_short | Cecal Perforation Following Intraperitoneal Abscess after Antitubercular Therapy: A Case Report |
title_sort | cecal perforation following intraperitoneal abscess after antitubercular therapy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088985/ https://www.ncbi.nlm.nih.gov/pubmed/37203965 http://dx.doi.org/10.31729/jnma.8042 |
work_keys_str_mv | AT prasaiparikshit cecalperforationfollowingintraperitonealabscessafterantituberculartherapyacasereport AT joshianjali cecalperforationfollowingintraperitonealabscessafterantituberculartherapyacasereport AT poudelsantosh cecalperforationfollowingintraperitonealabscessafterantituberculartherapyacasereport AT kcsarjan cecalperforationfollowingintraperitonealabscessafterantituberculartherapyacasereport AT paharirabin cecalperforationfollowingintraperitonealabscessafterantituberculartherapyacasereport |