Multiple intestinal perforations as a primary manifestation of abdominal tuberculosis in a HIV-infected patient

J Surg Case Rep. 2010 Dec 1;2010(10):7. doi: 10.1093/jscr/2010.10.7.

Abstract

Abdominal tuberculosis (TB) is the sixth commonest extra-pulmonary TB form after lymphatic, genitourinary, bone and joint, miliary and meningeal tuberculosis. Perforation is a serious and uncommon complication of abdominal tuberculosis which can occur even during the treatment. A 30-year-old man was admitted with a three-day history of abdominal pain who had emergency surgery for multiple perforations of the distal ileum.