Primary Tubercular Appendicitis with Perforation

JOURNAL TITLE: Journal of Gastrointestinal Infections

Author
1. Deepinder Kaur
2. Rajdeep Singh Chhina
3. Rama Gupta
4. Kavita Saggar
ISSN
2277-5862
DOI
10.5005/jp-jogi-4-1-61
Volume
4
Issue
1
Publishing Year
2014
Pages
2
Author Affiliations
    1. Department of Microbiology, Dayanand Medical College, Ludhiana.
    1. Department of Radiology, Dayanand Medical College, Ludhiana.
    1. Department of Radiology, Dayanand Medical College, Ludhiana.
  • Article keywords
    tubercular, appendicitis, ZN staining.

    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.

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