Citation Information :
Thapa B, Debi U, Shankar A, Kartik M, Prasad KK. An unusual case of small intestinal tuberculosis with enteroenteric fistula: A case report. J Gastrointest Infect 2015; 5 (1):46-49.
Tuberculosis is a very common condition which at times can present with distinctly atypical findings. In the vast majority of the presenting cases it can pose diagnostic challenge to both the clinician and the radiologist due to its nonspecific clinical manifestations and lack of pathognomonic radiological signs But being a treatable disease utmost care needs to be exercised in establishing this diagnosis. We report a rare radiological finding in a case of small intestinal tuberculosis which confounded the initial diagnosis necessitating pathological proof of tubercular enteroenteric fistula. Following fine needle aspiration cytology, the patient was started on anti-tubercular treatment and conservatively managed. The patient showed significant improvement in clinical symptoms after 3 months and resolution on completion of the treatment.
Mukewar S, Mukewar S, Ravi R, Prasad A, S Dua K. Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment. Clin Transl Gastroenterol. 2012; 3:e24.
Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol. 1998; 93:692-6.
Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol 2002;12:312-23.
Kapoor V K. Abdominal tuberculosis. Postgrad Med J. 1998;74:459.
Debi U, Vasudevan R, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol. 2014; 20:4831-40.
Sharma R. Abdominal Tuberculosis. Imaging Science Today 2009: 146. Available from: URL: http://www. imagingscience today.com/node/146.
Alvares JF, Devarbhavi H, Makhija P, Rao S, Kottoor R. Clinical, colonoscopic, and histological profile of colonic tuberculosis in a tertiary hospital. Endoscopy. 2005;37:351-6.
Das HS, Rathi P, Sawant P, Chodankar CM, Vyas K, Patrawala V, Dhadphale S. Colonic tuberculosis: colonoscopic appearance and clinico-pathologic analysis. J Assoc Physicians India. 2000;48:708-10.
McGuinness FE, Hamilton D, Al Nabulsi J. Tuberculosis of the gastrointestinal tract and peritoneum. In: McGuinness FE, editor. Clinical imaging of non-pulmonary tuberculosis. Berlin: Springer. 2000:107-38.
Singh O, Gupta S, Moses S, Jain DK. Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier. Saudi J Gastroenterol. 2009;15:261-38.