Bulletin of Emergency And Trauma

Asymptomatic Tuberculosis-Induced Ileal Perforation in an HIV- Infected Individual; A Case Report

Document Type : Case Report

Authors

Sedigheh Tahmasebi 1
Sam Moslemi 2
Maryam Tahamtan 3
Lohrasb Taheri 2
Mohammad Ali Davarpanah 3

1 Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

2 General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Department of Internal medicine, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract
The co-existence of acquired immune  deficiency syndrome (AIDS) and tuberculosis is a major cause of morbidity and mortality because of a widespread organ involvement. The gastrointestinal tract is a common site for localization of opportunistic  microorganisms  in AIDS. However, surgical abdominal  emergencies such as intestinal perforation resulted from tuberculosis are uncommon  in these patients. The asymptomatic occurrence of such intestinal perforation has not been reported our knowledge. We represent an HIV and HCV co-infected man with miliary tuberculosis and an incidentally detected free air under  diaphragm in the chest X-ray eventually resulting in exploratory laparotomy which then revealed two tubercular-induced intestinal perforations. It seems that as the tuberculosis is increasing in incidence, mostly due to reactivation in HIV-infected patients especially in developing countries, we should not underestimate its acute abdominal emergencies such as bowel perforation.

Keywords

Tuberculosis
Intestinal perforation
Human Immunodeficiency Virus (HIV)
Acquired Immune Deficiency Syndrome (AIDS)
Bulletin of Emergency And Trauma
Volume 1, Issue 4 - Serial Number 4
4
Autumn 2013
Pages 182-185

  • Receive Date 19 September 2013
  • Accept Date 09 March 2019

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