JTR  Vol.1 No.3 , December 2013
Appendicular tuberculosis presenting as enterocutaneous fistula over thigh—A rare case report with review of literature
ABSTRACT
Abdominal tuberculosis is a significant cause of morbidity and mortality in children in developing countries. Primary involvement of appendix is very rare. Presentation is usually non specific and diagnosis is made in most cases on histopathlogical examination following appendicectomy. This to our knowledge is the first case of appendicular tuberculosis presenting primarily as spontaneous enterocutaneous fistula over front of right thigh. Barium meal follow-through was diagnostic. Appendicectomy was performed followed by anti-tubercular treatment which was curative.

Cite this paper
Pandey, V. , Gangopadhyay, A. , Sharma, S. and Kumar, V. (2013) Appendicular tuberculosis presenting as enterocutaneous fistula over thigh—A rare case report with review of literature. Journal of Tuberculosis Research, 1, 37-39. doi: 10.4236/jtr.2013.13007.
References
[1]   Chou Rasheed, S., Zinicola, R., Watson, D., Bajwa, A. and McDonald, P.J. (2007) Intra-abdominal and gastrointestinal tuberculosis. Colorectal Disease, 9, 773-783. http://dx.doi.org/10.1111/j.1463-1318.2007.01337.x

[2]   Singh, M.K., Arunabh and Kapoor, V.K. (1987) Tuberculosis of the appendix—A report of 17 cases and a suggested aetiopathological classification. Postgraduate Medical Journal, 63, 855-857. http://dx.doi.org/10.1136/pgmj.63.744.855

[3]   Pujari, B.D., Jeyaramaiah, M. and Deodhar, S.G. (1981) Tubercular appendicitis. Journal of the Association of Physicians of India, 29, 1025-1028.

[4]   Agarwal, P., Sharma, D., Agarwal, A., Agarwal, V., Tandon, A., Baghel, K.D., et al. (2004) Tuberculous appendicitis in India. Tropical Doctor, 34, 36-38.

[5]   Singh, O., Gupta, S., Moses, S. and Jain, D.K. (2009) Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier. Saudi Journal of Gastroenterology, 15, 261-263. http://dx.doi.org/10.4103/1319-3767.56107

[6]   Chintamani, Badran, R., Daniel, R.K., Singhal, V. and Bhatnagar, D. (2003) Spontaneous entrocutaneous fistula 27-years following radio-therapy in a patient of carcinoma penis. World Journal of Surgical Oncology, 1, 23-26. http://dx.doi.org/10.1186/1477-7819-1-23

[7]   Bhansali, S.U. (1977) Abdominal tuberculosis: Experience with 300 cases. The American Journal of Gastroenterology, 67, 324-327.

[8]   Gupta, S.C., Gupta, A.K., Keswani, N.K., Singh, P.A., Tripathi, A.K. and Krishna, V. (1989) Pathology of tropical appendicitis. Journal of Clinical Pathology, 42, 1169- 1172. http://dx.doi.org/10.1136/jcp.42.11.1169

 
 
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