Foreign Body Causing Diagnostic Dilemma in Koch’s Abdomen Patient Presenting with Acute Intestinal Obstruction: A Case Report
Correspondence Address :
Dr. Ranendra Hajong,
Professor, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya-793018, India.
E-mail: ranenhajong@gmail.com
The ileocaecal region is the most commonly affected region in Koch’s abdomen; however, it can involve any part of the Gastrointestinal Tract (GIT). Patients usually present late with either features of acute or subacute intestinal obstruction or with features of perforation peritonitis. Early diagnosis of abdominal Tuberculosis (TB) is still challenging due to the vague and non specific symptomatology of the disease. Hereby, the authors present a case report of 11-year-old boy who was on Antitubercular Treatment (ATT) for suspected abdominal TB, presented with features of subacute intestinal obstruction which subsequently had to be operated for acute obstruction. However, the cause of obstruction was not due to the complications of abdominal TB but due to the mechanical obstruction caused by the seeds of bayberry, which got obstructed in the relatively narrowed part of the ileocaecal region due to thickening of the bowel wall. No similar case reports have been found in the literature earlier. Hence, the present case is being reported.
Abdominal tuberculosis, Local fruits, Pain abdomen, Seeds ingestion, Vomiting
DOI: 10.7860/JCDR/2024/68877.19327
Date of Submission: Nov 30, 2023
Date of Peer Review: Jan 19, 2024
Date of Acceptance: Feb 10, 2024
Date of Publishing: Apr 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 04, 2023
• Manual Googling: Jan 23, 2024
• iThenticate Software: Feb 09, 2024 (10%)
ETYMOLOGY: Author Origin
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