TB Research

Small bowel obstruction secondary to peritoneal tuberculosis: A case report.

Marcus James Renshaw, Pete John Webster

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2025-10

Abstract

Extrapulmonary Tuberculosis (EPTB) can affect many organ systems, including the gastrointestinal (GI) tract. Here, it may manifest as intestinal, peritoneal, hepato-pancreato-biliary TB, or as TB lymphadenitis. We report a case of small bowel obstruction secondary to peritoneal TB deposits in a patient who had previous received BCG vaccination. The patient was managed with emergency laparotomy and received TB treatment post-operatively. This article highlights the innocuous presentation of peritoneal TB and difficulties obtaining a diagnosis. Furthermore, we review the efficacy of the BCG vaccine and remind the reader of the importance of a travel history in the acute abdomen setting.

MeSH terms

  • Humans
  • Antitubercular Agents
  • BCG Vaccine
  • Intestinal Obstruction
  • Intestine, Small
  • Laparotomy
  • Peritonitis, Tuberculous