title: Primary tuberculous appendicitis presented with caecal perforation: a case report.
abstract: Gastrointestinal tuberculosis accounts for 3% of the extrapulmonary tuberculosis with ileocaecal region being the common site of involvement up to 75%. Primary involvement of appendix is very rare and accounts for only 0.6% to 2.9% of gastrointestinal tuberculosis in the absence tubercular focus elsewhere. The pre-operative investigations usually give non-specific results. The diagnosis in most instances made only after histopathology. Here we report a case of primary appendicular tuberculosis in a patient presented with caecal perforation.
authors.affiliation: Department and Institution/Department of surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
authors.forename: T P
authors.initials: TP
authors.lastname: Elamurugan
authors.forename: M
authors.initials: M
authors.lastname: Sivashanker
authors.forename: Suresh S
authors.initials: SS
authors.lastname: Kumar
authors.forename: R
authors.initials: R
authors.lastname: Muthukumarassamy
authors.forename: Vikram
authors.initials: V
authors.lastname: Kate
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001062:Appendectomy; D001064:Appendicitis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D002429:Cecal Diseases / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000382:microbiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery
chemical_list: D000995:Antitubercular Agents