A CASE OF THE PERFORATED INTESTINAL TUBERCULOSIS ASSOCIATED WITH BULLOUS PEMPHIGOID

Abstract

A 69-year old man was admitted with the chief complaint of melena. He was currentlyunder treatment with corticosteroids for bullous pemphigoid. On colonoscopic examination, multiple ulceratians were found in the sigmoid colon. On the lllth day of admission, he was rushed to emergency surgery for panperitonitis and intestinal perforation wasfound. Pulmonary lesions were pr7sent before the operation and got worse after operation.The diagnosis of pulmonary tuberculosis was made by bronchofiberscope and the diagnosisof intestinal tuberculosis was comfirmed by histological findings of the resected intestine.Colonic tuberculosis was suggested by healed sigmoid colon lesians with treatment fartuberculosis. This paper reported a case of perforated intestinal tuberculosis, which isrelatively rare in Japan.