2019 Volume 39 Issue 6 Pages 1087-1090
A 45-year-old woman from Peru presented with vomiting and abdominal pain. Colonoscopy revealed erosions and ulceration in the cecum. Double balloon endoscopy revealed jejunal stenosis. Although the patient had no evidence of pulmonary tuberculosis, a T-spot TB test was positive. She developed an intestinal obstruction and required emergency surgery. There was a lower jejunal obstruction 220 cm from the ligament of Treitz. A single-port laparoscopic partial jejunectomy was performed. On day 14 after surgery, Mycobacterium tuberculosis was detected in a mucosal culture, indicating a diagnosis of intestinal tuberculosis. Intestinal tuberculosis frequently develops in the ileocecal area but rarely in the jejunum. As the foreign-born population in Japan increases, people with tuberculosis will increasingly be seen. Intestinal tuberculosis should be considered in the differential diagnosis of non-neoplastic intestinal obstruction in individuals from countries with a high incidence of tuberculosis.
