[A case of ileus caused by intestinal tuberculosis occurring during treatment of tuberculosis of ileocecum].
A 73-year-old woman was diagnosed as having tuberculosis of ileocecum by colonoscopy and started on medication. A month later, she admitted for ileus. Colonoscopy showed improvement of tuberculosis of ileocecum. An ileus tube was inserted on the same day, and ileus was improved once. But after removing the tube, she had ileus again. Computed tomography just after re-inserting an ileus tube with Amidotrizoic acid showed 3 stenoses of ileum. A partial resection of the small intestine was performed. Mycobacterium tuberculosis with PCR was positive. A postoperative course was uneventful and no recurrence has occurred up to now. During treatment of tuberculosis, ileus caused by intestinal tuberculosis may occur. It must be considered to examine the small intestine before beginning to treat tuberculosis of ileocecum or colon.
Matsumoto
Yumi
Y
Department of Internal Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan. maruyumimaruyumi@yahoo.co.jp
Yasunaga
Yuichi
Y
Hamabe
Atsushi
A
Shiraishi
Eri
E
Katata
Tatsuo
T
Inui
Yoshiaki
Y
Tsujie
Masaki
M
Sakata
Chihiro
C
Koro
Takashi
T
Nishikawa
Masahiro
M
D000368:Aged; D002429:Cecal Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications*; D045823:Ileus / Q000209:etiology* / Q000601:surgery; D014385:Tuberculosis, Gastrointestinal / Q000150:complications*