Abstract
A 50-year-old woman was referred to our hospital with nausea, vomiting, and right lower abdominal pain. Abdominal X-ray showed distension of the intestine with a niveau on admission, and it was diagnosed as ileus. She had a history of hospitalization for 7 months due to pulmonary tuberculosis. After admission, an ileus tube was inserted. Endoscopy of the colon and double contrast colonography showed a round ulcer with annular stricture at the hepatic flexure of the ascending colon. Tuberculin reaction test was positive. Laparotomy was performed under the diagnosis of ileus due to intestinal tuberculosis. The observation of Langerhans giant cells surrounding the ulcer in the cecum by histopathology suggested intestinal tuberculosis. In the case of ileus with a history of pulmonary tuberculosis, intestinal tuberculosis should be considered in the differential diagnosis.
