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Free tubercular perforation of the ileum.

Gupta S, Jayant M, Kaushik R - World J Emerg Med (2013)

Bottom Line: He recovered uneventfully after the operation.The patient was started on anti- tubercular therapy and he was followed up with good results.This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Government Medical College and Hospital, Chandigarh, India.

ABSTRACT

Background: Peritonitis secondary to small bowel perforation is a common surgical emergency seen across the globe.

Methods: A young male patient presented with ileal perforation that was repaired primarily. He recovered uneventfully after the operation.

Results: Histopathology of the margins of the perforation revealed tuberculosis. A search for evidence of a primary focus of tuberculosis was unsuccessful. The patient was started on anti- tubercular therapy and he was followed up with good results.

Conclusion: This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

No MeSH data available.


Related in: MedlinePlus

Margins of the perforation showing Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa.
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Figure 1: Margins of the perforation showing Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa.

Mentions: The post-operative period was uneventful. The histopathological report of the perforation margins that were sent intra-operatively revealed caseating epithelioid cell granulomas with Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa (Figure 1). On receiving this report, the patient was started on anti-tubercular treatment and remained well on follow up. Efforts were made to detect a primary focus of tuberculosis, but were unsuccessful.


Free tubercular perforation of the ileum.

Gupta S, Jayant M, Kaushik R - World J Emerg Med (2013)

Margins of the perforation showing Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129850&req=5

Figure 1: Margins of the perforation showing Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa.
Mentions: The post-operative period was uneventful. The histopathological report of the perforation margins that were sent intra-operatively revealed caseating epithelioid cell granulomas with Langhans' giant cells and a dense mixed inflammatory cell infiltrate within the mucosa and submucosa (Figure 1). On receiving this report, the patient was started on anti-tubercular treatment and remained well on follow up. Efforts were made to detect a primary focus of tuberculosis, but were unsuccessful.

Bottom Line: He recovered uneventfully after the operation.The patient was started on anti- tubercular therapy and he was followed up with good results.This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Government Medical College and Hospital, Chandigarh, India.

ABSTRACT

Background: Peritonitis secondary to small bowel perforation is a common surgical emergency seen across the globe.

Methods: A young male patient presented with ileal perforation that was repaired primarily. He recovered uneventfully after the operation.

Results: Histopathology of the margins of the perforation revealed tuberculosis. A search for evidence of a primary focus of tuberculosis was unsuccessful. The patient was started on anti- tubercular therapy and he was followed up with good results.

Conclusion: This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

No MeSH data available.


Related in: MedlinePlus