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  • Title: [Ileus as a manifestation of intestinal tuberculosis].
    Author: Hoentjen F, Stokkers PC, Veenstra J.
    Journal: Ned Tijdschr Geneeskd; 2011; 155(32):A3344. PubMed ID: 21835062.
    Abstract:
    BACKGROUND: 'Intestinal tuberculosis' is sometimes difficult to diagnose. The symptoms are non-specific and there is an extensive differential diagnosis. CASE DESCRIPTION: A 27-year-old man from Pakistan presented at the emergency department with a history of constipation, weight loss and abdominal pain. An abdominal CT scan revealed dilated small bowel loops, lymphadenopathy and a thickened intestinal wall of the terminal ileum. Cultures of a cervical lymph node biopsy tested positive for Mycobacterium tuberculosis: intestinal tuberculosis. The man eventually recovered after treatment with tuberculostatics. CONCLUSION: The most sensitive methods for establishing the diagnosis 'intestinal tuberculosis' are an abdominal CT scan and a colonoscopy with ileal and colonic biopsies; establishing the diagnosis can be challenging as a result of non-specific test results.
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