Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Surgery
Volume 2015, Article ID 318678, 3 pages
Case Report

Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

1General Surgery, Civil Hospital Karachi, Karachi 74200, Pakistan
2Dow University of Health Sciences, Karachi 74200, Pakistan
3Sindh Institute of Urology & Transplantation, Karachi 74200, Pakistan
4Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

Received 15 September 2015; Accepted 24 November 2015

Academic Editor: Tahsin Colak

Copyright © 2015 Irfan Masood 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.


Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.