Concomittant bladder and gastrointestinal tract perforation as severe abdominal tuberculosis complication in adolescent: A rare case

Abstract

Abdominal tuberculosis (TB) may range from non-specific abdominal symptoms and signs to severe, late, and more likely as a rare condition, including perforation. Concomitant bladder and gastrointestinal tract perforation secondary to a TB occurred very rarely. When it is challenging and no diagnostic tools are available, diagnosis of abdominal TB may be delayed, increasing the risk of mortality. We have encountered a complicated case of a male adolescent who presented to the Emergency department with “fecaluria”, later found to be a communication between the bladder and gastrointestinal tract as a complication of severe abdominal TB. The histopathological findings of the resected ileum and bladder along with omentum and peritoneal, indicating multiple tubercles consisted of epitheloid cells, datia Langhans cells, and caseous necrosis as it was concluded as tuberculous of the omentum, peritoneal, tuberculous ileitis, and tuberculous cystitis.

Keywords

• Abdominal tuberculosis
• Adolescent
• Bladder
• Gastrointestinal
• Perforation