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Caecal Perforation from Primary Intestinal Tuberculosis in Pregnancy

The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum...

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Detalles Bibliográficos
Autores principales: Lwin, Soe, Lau Lee Jing, Nina, Suharjono, Haris, Kipli, Mardiana binti, Moe Nwe, Tin, San Yi, Myat, Luk Tien Wee, Lucas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585647/
https://www.ncbi.nlm.nih.gov/pubmed/28912984
http://dx.doi.org/10.1155/2017/2173724
Descripción
Sumario:The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. We present a case of caecal TB in pregnancy, which resulted in caecal perforation, a right hemicolectomy, and severe preterm delivery. The aim of this case report is to discuss the diagnosis of extrapulmonary TB, as well as its subsequent management in pregnancy.