title: Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis.
abstract: Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10-15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6-8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.
authors.affiliation: General Surgery, Civil Hospital Karachi, Karachi 74200, Pakistan; Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Irfan
authors.initials: I
authors.lastname: Masood
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan; Sindh Institute of Urology & Transplantation, Karachi 74200, Pakistan.
authors.forename: Zain
authors.initials: Z
authors.lastname: Majid
authors.affiliation: General Surgery, Civil Hospital Karachi, Karachi 74200, Pakistan; Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Ali
authors.initials: A
authors.lastname: Rafiq
authors.affiliation: General Surgery, Civil Hospital Karachi, Karachi 74200, Pakistan; Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Waqas
authors.initials: W
authors.lastname: Rind
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan.
authors.forename: Aisha
authors.initials: A
authors.lastname: Zia
authors.affiliation: Dow University of Health Sciences, Karachi 74200, Pakistan; Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
authors.forename: Sajjad
authors.initials: S
authors.lastname: Raza