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Introduction: Intestinal tuberculosis (ITB), a rare yet severe manifestation of infection, poses significant diagnostic and therapeutic challenges due to its nonspecific clinical presentation. Perforation, a life-threatening complication, necessitates prompt surgical intervention and effective antituberculous therapy.

Case Presentation: This case study highlights a 41-year-old immunocompetent male who presented with fever, abdominal pain, vomiting, and significant weight loss.

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Tuberculosis (TB) represents a significant communicable disease on a global scale. The clinical manifestations of abdominal TB frequently resemble those of various gastrointestinal disorders, potentially leading to delays in accurate diagnosis. From January 2012 to December 2019, consecutive patients aged 12 years and older, diagnosed with gastrointestinal TB at a tertiary care center in North India, were enrolled.

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Foregut tuberculosis: Too close but miles apart.

World J Clin Cases

November 2024

Department of Medicine, Section of Gastroenterology, Aga Khan University Hospital, Karachi 74800, Pakistan.

The worldwide burden of tuberculosis (TB) has increased and it can involve virtually any organ of the body. Intestinal TB accounts for about 2% of the cases of TB worldwide. The ileocecal region is the most commonly affected site, and the foregut is rarely involved.

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A Rare Case of Metastatic Adenocarcinoma Masquerading as Disseminated Tuberculosis.

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Respiratory Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Dr. D Y Patil Vidyapeeth (Deemed to be University), Pune, IND.

A 68-year-old female with no known comorbidities presented with a three-month history of abdominal pain, nausea, vomiting aggravated by food intake, dry cough, gastro-oesophageal reflux disease, breathlessness, low-grade fever, and significant weight loss. Initial investigations including a plain radiograph of the erect abdomen and contrast-enhanced computed tomography abdomen showed irregular concentric thickening of the large bowel along with proximal dilation of small bowel loops which was suggestive of subacute intestinal obstruction secondary to abdominal tuberculosis (TB). The patient also complained of persistent dry cough for which a chest radiograph and computed tomography (CT) thorax were done which showed features suggestive of pulmonary TB.

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Intestinal tuberculosis commonly affects the ileocecal area and the terminal ileum, and is extremely rare in the rectum, with isolated rectal involvement being even rarer. This paper described a case of an isolated rectal tuberculoma in a female patient of 44 years old, Yi ethnicity, who was admitted to the hospital with abdominal distension and constipation. She had a history of hepatitis B virus infection.

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