MULTIPLE SMALL BOWEL STRICTURES WITH PERFORATION IN A CASE OF ABDOMINAL TUBERCULOSIS

*Satyanarayana Rao Sarangam Venkata and Viswanath Nallapaneni

ABSTRACT

We report a rare case of abdominal tuberculosis with multiple ileal strictures with perforation presenting as an acute abdomen at this hospital. A 50 year old Male came to casualty with complaints of vomiting, constipation, pain in abdomen since 02 days and fever with chills and rigor since 01 day. Abdominal examination revealed distention and absent bowel sounds. Radiography of the abdomen showed gas under the diaphragm. Hence emergency laparotomy was done which revealed a single perforation and two strictures in the terminal ileum. Resection of the diseased segment of the ileum including the strictures with end to end anastomosis done.

Keywords: Laparotomy, perforation, stricture and tuberculosis.