Acute Tuberculous Appendicitis with Intestinal Obstruction

Yongkie Iswandi Purnama (Department of Internal Medicine, Faculty of Medicine, Universitas Udayana, Denpasar)
I Dewa Nyoman Wibawa (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Udayana, Denpasar)

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 20, No 2 (2019): VOLUME 20, NUMBER 2, August 2019

Tuberculosis (TB) can involve any organs. Tuberculous appendicitis is a rare case. Incidence of primary tuberculous appendicitis is 0.1-0.3% while incidence of secondary tuberculous appendicitis is 1.5-3%. Tuberculous appendicitis occurs in 0.08% of all appendectomy and 0.2% of all TB cases. We reported an acute tuberculous appendicitis with intestinal obstruction. Diagnosis was established based on histopathological findings. Treatments included appendectomy and first category of anti tuberculosis drugs (ATD) for 6 months. This case was reported to add our insight about possibility of TB as an etiology of many pathologic conditions in abdominal cavity.