Seorang Wanita Muda dengan Tuberkulosis Usus Menyerupai Apendiksitis Akut

Kadek Widianiti, Tutik Kusmiati, Ida Bagus Ngurah Rai

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Background: Tuberculosis has become a global health problem, with increasing numbers of cases in line with the increasing number of immunocompromised patients. Intestinal of tuberculosis is believed to be a form of extrapulmonary tuberculosis which will occur most often in the future . Case: This case presents a young woman, 20 years old, suspected of acute appendicitis with suspected perforation, had right abdominal pain since 1 month and getting worse since 5 days PTA (prior to admission). The abdomen enlarges and feels hard on the right abdomen after being treated for 3 days. Fever,body weaknes,decreased of appetite, decreased of body weight approximately 7 kg since 2 months PTA. There are nausea, vomiting, diarea with runny mucus since 2 weeks PTA. The chest x-ray, abdominal ultrasound, endoscopy was normal result and plain abdominal radiograph showed that intestinal dilatation and step ladder features suspicious obstructive ileus. Discussion: After 2 months of therapy abdominal symptoms improved and weight began to gradually increase. Intestinal of tuberculosis is a challenge for clinicians to diagnose despite using modern medical techniques because the clinical and laboratory features are not specific especially when active pulmonary infection is absent and there are similarities with other abdominal diseases. The histological features will provide a diagnose. The delay in diagnosis will lead to more severe complications. Conclusion: At present a combination of clinical, radiological and pathological features continues to be the key to diagnosing intestinal tuberculosis. Medical management with antituberculosis drugs will produce a significant resolution of symptoms.


Tuberculosis, Intestinal of tuberculosis, Acute appendicitis

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Debi U, Ravisankar V, Prasad KK, Abdominal Tuberculosis of Gastrointestinal tract. World J Gastroenterol 2014; 20(40); 1483114839.

Eric H. Choi et all. Gastrointestinal Tuberculosis ini Tuberculosis and Nontuberculous Mycobacterial Infections, 6th ed. Washington, DC: ASM Press; 2011.

Khuroo Sultan et all. Tuberculosis of Smal Bowel and Colon in Abdominal Tuberculosis. Springer.2014. 659-667

Shi XC, Zhang LF, Zhang YQ, Clinical and Laboratory Diagnosis of Intestinal Tuberculosis. Chinese Medical Journal. Volume 129. 2016: 129(19); 1330-1333.

Ahmed FB. Tuberculous enteritis. British Medical Journal. 1996 August 31; 313(7051); 215-217.

Horvath KD, Whelan RL. Intestinal Tuberculosis: Return of an Old Disease. American Journal of Gastroenterology. Elsevier Science Inc. 1998 May; 93(5): 692-696.

Gan Hong Ying. An Analysis of the Clinical, Endoscopic and Patologic Features of Intestinal Tuberculosi. J Clin Gastroenterol. 2016; 50; 470-475

Pathak P, Sahu SK, Agrawal A. Clinicopathological Profile and Surgical Outcome of Patient of Gastrointestinal Tuberculosis Undergoing Laparotomy. Himalayan Institut of Medical Science. 2016: 111(6); 487-492

Tandon P, Parakash A. Pathology of Intestinal Tuberculosis and its distinction from Chrown Disease. British Medical Journal. 2015. 13(4); 260-269.

Ahmad R, Shafique MS, Zafar S, Mehmood S, Qureshi U, Khan JS. Tuberculosis Pattern of Presentation and Surgical Management. Professional Medical Journal. 2016. 23(11); 1334-1339.

Robert J, Kalsuke MD, Anderson WJ, Primary Tuberculosis Enterolitis. Michigan State University. 2015; 110-113.

Limsrivilai J, Shreiner AB, Pongpaibul A, Metanalytic Bayesian Model for Diferentiating Intestinal Tuberculosis from Chrohn Disease. Am J Gastroenterol. 2017 March; 112(3): 415–427.


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