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World Journal of Emergency Medicine ›› 2013, Vol. 4 ›› Issue (3): 235-236.doi: 10.5847/wjem.j.issn.1920-8642.2013.03.015

• Case Reports • Previous Articles     Next Articles

Free tubercular perforation of the ileum

Sanjay Gupta, Mayank Jayant, Robin Kaushik()   

  1. Department of Surgery, Government Medical College and Hospital, Chandigarh, India
  • Received:2013-01-16 Accepted:2013-05-20 Online:2013-09-15 Published:2013-09-15
  • Contact: Robin Kaushik


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.

Key words: Peritonitis, Perforation, Ileum, Tuberculosis