An unusual case of ileal tuberculosis: only ascites at presentation and absence of caseous necrosis and granulomatous inflammation on biopsy.
An unusual case of ileal tuberculosis presenting with only ascites, without evidence of previous or active pulmonary tuberculosis, and absence of caseous necrosis and granulomatous inflammation is discussed. Diagnosis was established on biopsy specimens of ileocaecal region collected at colonscopy: acid-fast bacilli and positive culture for Mycobacterium tuberculosis. Parenteral nutrition, surgery and antituberculous drug treatment resulted in a complete recovery of the patient.
Cavallo-Perin
P
P
Institute of Internal Medicine, University of Turin, Italy.
Salizzoni
M
M
Mazzucco
G
G
Malfi
G
G
Pagano
G
G
D000328:Adult; D001201:Ascites / Q000473:pathology*; D005260:Female; D006099:Granuloma / Q000473:pathology*; D006801:Humans; D007082:Ileum / Q000473:pathology*; D009336:Necrosis / Q000473:pathology; D014385:Tuberculosis, Gastrointestinal / Q000473:pathology*