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Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 49-53

A rare case of intestinal obstruction mimicking ileocecal tuberculosis: Eosinophilic enteritis

Department of Surgery, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India

Correspondence Address:
M V Sreeharsha
Department of Surgery, Jagadguru Sri Shivarathreeswara Medical College Hospital, Ramanuja Road, Mysore - 570 004, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-344X.149272

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A 52-year-old male presented with complaints of pain abdomen, vomiting, and distention of abdomen since 3 months. He had similar complaints 1 year back and was treated conservatively. He was a known case of pulmonary tuberculosis and completed Category I treatment 3 years back. Abdomen was distended with stepladder pattern of visible peristalsis. Erect X-ray of the abdomen was suggestive of intestinal obstruction. Utrasonography (USG) and computed tomography (CT) scan suggested distal ileocecal thickening-probably ileocecal tuberculosis. A provisional diagnosis of ileocecal tuberculosis causing intestinal obstruction was made and patient was taken up for laparotomy. Laparotomy revealed dilated small bowel loops with distended cecum. Right hemicolectomy was performed. Histopathological Examination (HPE) sent showed features of eosinophilic enteritis a rare cause of intestinal obstruction.

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