Perforation of the terminal ileum caused by brucellosis: A case report

Abstract

Key Clinical Message Brucellosis, caused by gram‐negative coccobacilli of the genus Brucella, is a zoonotic disease with bone and joint complications being common. However, acute abdomen with intestinal perforation is rare. We present a case of a 69‐year‐old man diagnosed with acute diffuse peritonitis and intestinal perforation due to Brucella infection. Surgical intervention revealed ileocecal perforation with wheel spoke‐like necrosis. The patient underwent partial resection, ileum closure, and ileostomy. Positive blood culture and Brucella agglutination confirmed the diagnosis. Targeted tetracycline and aminoglycoside treatment led to recovery.

Keywords

• acute abdomen
• bowel perforation
• brucellosis
• inflammatory bowel disease