Ileocecal Tuberculosis – Case Report

Abstract

Caecal-appendicular tuberculosis represents a rare localization of tuberculous lesions. Within digestive tract tuberculosis, the ileo-caecal localization is the most frequent, and in many cases is correlated with pulmonary tuberculosis lesions. The increase incidence of tuberculosis worldwide determined a raise in the intestinal tuberculosis rate. Positive diagnosis is based on histopathological and bacteriological examination. The differential diagnosis with inflammatory bowel diseases and intestinal neoplasia is difficult, but necessary for a correct management. Because of an increase in tuberculosis prevalence worldwide, clinicians must acknowledge the existence of intestinal tuberculosis, especially in the case of a non-specific clinical, biological or radiological presentation. Combined efforts of diverse specialists (radiologists, gastroenterologists, surgeons) are recommended in order to early diagnose and treat this disease.