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Kang, Kang, Kang, Kim, Lim, Kim, Lee, Moon, and Park: A Case of Adult Intussusception Induced by Intestinal Tuberculosis
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2010; 69(3): 196-200.

Published online: 30 September 2010

DOI: https://doi.org/10.4046/trd.2010.69.3.196

A Case of Adult Intussusception Induced by Intestinal Tuberculosis

Hye Sun Kang, M.D.1, Ji Young Kang, M.D.1, Hyeon Hui Kang, M.D.1, Hyun Jin Kim, M.D.1, Keun Joon Lim, M.D.1, Seung Kyoung Kim, M.D.1, Sang Haak Lee, M.D.1, Hwa Sik Moon, M.D.1, Jong Kyung Park, M.D.2

1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.

2Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.

Address for correspondence: Sang Haak Lee, M.D. Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine, 620-56, Jeonnong 1-dong, Dongdaemoon-gu, Seoul 130-709, Korea. Phone: 82-2-958-2445, Fax: 82-2-968-7250, mdlee@catholic.ac.kr

Received 28 February 2010       Accepted 5 April 2010

Copyright © 2010. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Intussusception primarily occurs in children and is uncommon in adults. Moreover, intussusception caused by intestinal tuberculosis is very rare. We report a case of intussusception induced by intestinal tuberculosis. A 53-year-old man presented to our hospital with complaints of cough and sputum for 2 weeks. We started anti-tuberculosis medication as the patient's sputum acid-fast staining was positive. After 4 days of treatment, the patient developed abdominal cramping pain. Imaging studies showed ileo-ileal type intussusception. The patient underwent segmental resection of the small bowel and intestinal tuberculosis was confirmed on histological examination. He recovered after surgery and was discharged on anti-tuberculosis medication.

Keywords: Intussusception, Adult, Tuberculosis, Gastrointestinal

Figures and Tables

Figure 1
Chest X-ray shows multiple nodules and fibrotic scars in the left and right upper lungs with fluid collection in the right hemithorax.
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Figure 2
Abdomen plain X-ray shows multiple air-fluid levels in the dilated loops suggesting small bowel obstruction.
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Figure 3
Computed tomography scan of the abdomen shows invagination of ileum to ileum with multiple fluid-filled and dilated loops of the small bowel. Collapse of the terminal ileum and colon is also shown.
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Figure 4
A small intestine shows the ilio-ileal intussusception (29 cm in length) with thickened wall and hemorrhagic necrotic areas.
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Figure 5
(A) Two granulomas are located in the muscularis propria and the subserosal area (H&E stain, ×100). (B) Focal granulomatous inflammation is shown (H&E stain, ×400).
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