Abstract
A 57-year-old woman reporting right lower abdominal pain was palpated with a mobile fine tumor in the right lower abdomen. Abdominal ultrasonography showed a multiple concentric ring sign, and abdominal computed tomography showed a target sign. Chest radiography showed the cave of the right lung. In emergency surgery, we treated the ileum-ascending colon intussusception by Hutchinson's method. We found a soft nodule 3 cm in diameter at the head of the intussusception elevated toward the lumen and having poor mobility, suggesting that the lesion extended from the mucosa to muscularis propria or deeper. We also found 5 similar nodules and many enlarged lymph nodes and small white nodules near the intestine with intussusception. Pathologically, lymph nodes had agglutinated glanuloma, epithelioid cells, and Langhans giant cells. A sputum test and gastric juice were positive tuberculous germs. Deoxyribonucleic acid and favorite acid bacteria cultivation of lymph nodes were positivity. We reported this as an example of intestinal tuberculosis discovered after intussusception that is an extremely rare complication.
