Patel Sheena, Al-Nowfal Abdullah, Gould Stuart T W
Department of General Surgery, Northwick Park Hospital, London, UK
Department of General Surgery, Northwick Park Hospital, London, UK.
J Surg Case Rep. 2012 Dec 11;2012(12):rjs014. doi: 10.1093/jscr/rjs014.
Abdominal tuberculosis (TB) is a rare but well-documented cause of faecal peritonitis, occasionally occurring in cases where the diagnosis has been delayed, thus resulting in progressive disease. Frequently occurring in the ileo-caecal region, it requires commencement of anti-tubercular regimen and can necessitate surgical intervention. We present a rare case of faecal peritonitis in a young immuno-competent patient with a perforated jejunal stricture, despite triple therapy for known pulmonary TB.
腹部结核是粪性腹膜炎一种罕见但有充分文献记载的病因，偶尔发生在诊断延迟的病例中，从而导致病情进展。它常发生在回盲部，需要开始抗结核治疗，且可能需要手术干预。我们报告一例罕见的粪性腹膜炎病例，患者为年轻免疫功能正常者，尽管对已知的肺结核进行了三联治疗，但仍出现了空肠穿孔性狭窄。
