title: Multiple intestinal strictures with perforation in a patient under antitubercular treatment for abdominal tuberculosis.
abstract: Abdominal tuberculosis (TB) constitutes about 12% of the extrapulmonaryTB. Abdominal TB can present with varying signs and symptoms likevague abdominal pain, abdominal mass, ascites and intestinal obstruction. Intestinal perforation is a relatively uncommon but a serious complication of abdominal TB. Antitubercular drugs are considered extremely effective but their role in the presence of a stenotic lesion of the bowel is controversial. Once symptoms of bowel obstruction or peritonitis appear, antitubercular drugs are of little use and surgery is inevitable. We report a case of abdominal TB in a patient under antitubercular treatment who later developed multiple intestinal strictures and a perforation.
  
  
  BACKGROUND
  perforation; stricture; tuberculosis.
authors.affiliation: Xenomed Foundation, Nepal. mingma.thsering@gmail.com
authors.forename: M T
authors.initials: MT
authors.lastname: Sherpa
authors.forename: R
authors.initials: R
authors.lastname: Shrestha
authors.forename: P M
authors.initials: PM
authors.lastname: Limbu
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents