Journal of Gastrointestinal Infections

Register      Login

VOLUME 4 , ISSUE 1 ( 2014 ) > List of Articles

CASE REPORT

Primary Tubercular Appendicitis with Perforation

Deepinder Kaur, Rama Gupta, Rajdeep Singh Chhina, Kavita Saggar

Keywords : tubercular, appendicitis, ZN staining.

Citation Information : Kaur D, Gupta R, Chhina RS, Saggar K. Primary Tubercular Appendicitis with Perforation. J Gastrointest Infect 2014; 4 (1):61-62.

DOI: 10.5005/jp-jogi-4-1-61

License: CC BY-SA 4.0

Published Online: 01-03-2017

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Tubercular appendicitis is surprisingly rare, even in countries where this infection is endemic. We report a case of isolated tubercular appendicitis with atypical presentation. A39 yearmale patient presented with abdominal pain and mild fever. On the basis of Ultrasonography and CECT findings, the patient was diagnosed as a case of appendicitis with perforation. Percutaneous (PC) drainage of the fluid revealed acid fast bacilli however no detectable tubercular focus was found elsewhere in the body. The patient was managed conservatively. Preoperative diagnosis of primary tubercular appendicitis is rarely made. It needs high index of suspicion. It should always be confirmed by histopathology.


PDF Share
  1. Ammanagi A,. Dhobale V,. Patil B,. and Miskin A. Isolated AppendicularTuberculosis. J Glob Infect Dis. 2011 3(1): 102–3.
  2. Uygur-Bayramicli O, Dabak G, Dabak R. A clinical dilemma: abdominal tuberculosis. World J of gastroenterol 2003, 9:1098–101.
  3. Gupta S, Kaushik R, Kaur A, AttriAK. Tubercular appendicitisa case report. World J Emerg Surg 2006;1:22.
  4. Park SW, Lee HL, Lee OY, Jeon YC. Han DC, Youn BC et al. Case of Appendicular Tuberculosis Presenting as Acute Appendicitis. Korean JGastroenterol 2007;50:388-92.
  5. Rai SP, Shukla A, Kashyap M, Dahiya RK. Isolated tuberculosis of the appendix. Indian JTuberc. 2004;51:239–40.
  6. Chong VH, Telisinghe PU, Yapp SKS, Chong CF. Tuberculous appendix: a review of clinical presentations and outcomes Singapore MedJ 2011;52(2):90.
  7. Bobrow ML. Friedman S Tuberculosis appendicitis. Am J Surg. 1956;91:389–93.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.