Acute mesenteric ischemia with tuberculous mesenteric lymphadenitis in a young female

Suruchi Shreshtha; Ashu K. Sekhose; Sujitha S.

doi:10.18203/2349-2902.isj20171646

Authors

Suruchi Shreshtha Department of Surgery, Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India
Ashu K. Sekhose Department of Surgery, Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India
Sujitha S. Department of Surgery, Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20171646

Keywords:

AMI, Idiopathic, Tuberculosis, Tubercular mesenteric lymphadenitis

Abstract

We present the case of an 18 year old female with tuberculous mesenteric lymphadenopathy who came to hospital with peritonitis and acute mesenteric ischemia. An emergency exploratory laparotomy with resection of gangrenous small bowel and right colon with end-to-end anastomosis was performed. Subsequent evaluation for etiology of bowel gangrene was essentially normal. By exclusion, the most likely cause of acute mesenteric ischemia in this patient was of unknown etiology which is indeed rare. However, tuberculosis as a cause of mesenteric vasculitis and bowel gangrene needs to be explored.

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Author Biography

Sujitha S., Department of Surgery, Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India

dnb student, general surgery

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