DOI: 10.36347/sasjs.2024.v10i07.033

Pages: 903-905

Background: Intestinal tuberculosis (ITB) can lead to severe complications like bowel obstruction. This case report highlights bowel obstruction due to adhesions revealing ITB. Case Presentation: A 39-year-old man presented with acute abdominal pain, vomiting, and distension for 48 hours. A CT scan showed small bowel obstruction in the terminal ileum with significant bowel wall thickening and mesenteric lymphadenopathy. Emergency laparotomy found adhesions and granulomas throughout the small intestine. Biopsy confirmed granulomas with caseous necrosis, diagnosing intestinal tuberculosis. The patient was successfully treated with a 12-month anti-tubercular regimen. Conclusion: Intestinal tuberculosis revealed by bowel obstruction due to adhesions is rare and requires rigorous diagnostic and therapeutic approaches. Effective management necessitates interdisciplinary collaboration.