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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 2173724, 4 pages
Case Report

Caecal Perforation from Primary Intestinal Tuberculosis in Pregnancy

1Department of Obstetrics & Gynecology, Faculty of Medicine and Health Sciences, UNIMAS, Kota Samarahan, Malaysia
2Department of Obstetrics & Gynecology, Sarawak General Hospital, Kuching, Malaysia
3Department of Basic Health Sciences, Faculty of Medicine and Health Sciences, UNIMAS, Kota Samarahan, Malaysia

Correspondence should be addressed to Soe Lwin; moc.liamg@mmniwlsrd

Received 11 April 2017; Revised 3 July 2017; Accepted 18 July 2017; Published 17 August 2017

Academic Editor: Hideto Kawaratani

Copyright © 2017 Soe Lwin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. We present a case of caecal TB in pregnancy, which resulted in caecal perforation, a right hemicolectomy, and severe preterm delivery. The aim of this case report is to discuss the diagnosis of extrapulmonary TB, as well as its subsequent management in pregnancy.