2016 Volume 77 Issue 12 Pages 2954-2958
A 58-year-old man consulted a local medical clinic, complaining of malaise and abdominal pain. Computed tomography (CT) revealed a granular shadow and cavernous lesions in both lungs, and an intraperitoneal abscess with a gas collection. Sputum and gastric aspirate smears showed tuberculosis infection. He was transferred to our hospital with the diagnosis of active pulmonary tuberculosis and gastrointestinal perforation due to intestinal tuberculosis. We considered emergency surgery for the intraperitoneal abscess, but his overall clinical and nutritional status was poor, and the risk of surgery was considered very high. Conservative treatment was provided, and elective surgery was planned after his nutritional status was improved. We started antituberculous drugs, continued drainage for the intraperitoneal abscess and administered antibiotics. The intraperitoneal abscess gradually developed a fistula and remitted. He was discharged on the 115th hospital day. We report a case of jejunal perforation and intraperitoneal abscess due to intestinal tuberculosis that was treated conservatively.