An unusual case of small intestinal tuberculosis with enteroenteric fistula: A case report

JOURNAL TITLE: Journal of Gastrointestinal Infections

Author
1. Abhinaya Shankar
2. Uma Debi
3. Kaushal Kishor Prasad
4. MV Kartik
5. BR Thapa
ISSN
2277-5862
DOI
10.5005/jp-jogi-5-1-46
Volume
5
Issue
1
Publishing Year
2015
Pages
4
Author Affiliations
    1. Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
    2. Postgraduate Institute of Medical Education and Research, Chandigarh
    3. Postgraduate Institute of Medical Education and Research, Chandigarh, India
    4. Postgraduate Institute of Medical, Education and Research, Chandigarh, India
    5. Advanced Pediatric Center, PGIMER, Chandigarh
    1. Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Gastroenterology Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • Article keywords
    Enteroenteric fistula, FNAC, intestinal tuberculosis, ultrasonography

    Abstract

    Tuberculosis is a very common condition which at times can present with distinctly atypical findings. In the vast majority of the presenting cases it can pose diagnostic challenge to both the clinician and the radiologist due to its nonspecific clinical manifestations and lack of pathognomonic radiological signs But being a treatable disease utmost care needs to be exercised in establishing this diagnosis. We report a rare radiological finding in a case of small intestinal tuberculosis which confounded the initial diagnosis necessitating pathological proof of tubercular enteroenteric fistula. Following fine needle aspiration cytology, the patient was started on anti-tubercular treatment and conservatively managed. The patient showed significant improvement in clinical symptoms after 3 months and resolution on completion of the treatment.

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