Open AccessA UNUSUAL PRESENTATION OF KOCHS ABDOMEN WITH MULTIPLE ILEAL PERFORATIONS- A RARE CASE
Author(s) -
Viral Sutariya,
Vinayak Hadke,
Dilip Krishnarao Apturkar,
Ketan Borkhatariya
Publication year - 2022
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/14121
Subject(s) - medicine , abdomen , abdominal distension , distension , surgery , presentation (obstetrics) , abdominal pain , differential diagnosis , ascites , constipation , perforation , anastomosis , acute abdomen , rectal examination , radiology , pathology , materials science , prostate cancer , cancer , punching , metallurgy
Hypothesis- whether kochs abdomen causes multiple ileac perforation or not . Methodology- A case report with A 38-year old male presented with- Ø abdominal pain since 1 month Ø Constipation since 4 days Ø Anorexia since 4 days On examination – abdomen was distended, diffuse, tenderness with guarding and rigidity with absent of bowel sounds. Conclusion –TB should always considered in differential diagnosis in patients presenting with abdominal pain/distension, fever and ascites or with abdominopelvic mass. Recurrent bowel obstruction or anastomotic disruptions also give clues of its diagnosis.