Abdominal Tb With Suspected Hollow Organ Perforation

Abstract

Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis which can affect the lungs and extrapulmonary tissues. According to the 2019 WHO TB report, the number of active TB cases reached 10 million people, with a death toll of 1.4 million people. To date, TB is still considered a global health burden, especially in developing countries such as Indonesia, which includes this bacterial disease in its national treatment program. In addition to pulmonary TB, there is also extrapulmonary TB which can attack various organs in the body. With the ability of tuberculosis bacteria to attack various organs, this extrapulmonary TB often causes several unusual symptoms. These atypical symptoms make it challenging to diagnose extrapulmonary TB; thus, this bacterial disease has relatively high morbidity and mortality rate.Abdominal TB is epidemiologically one of the comorbidities in 15% - 25% of pulmonary TB cases, and the abdomen is the sixth most frequently affected organ outside the lungs. Establishing the diagnosis of abdominal TB is quite challenging because it requires several modalities. The modalities that can provide important information to establish the diagnosis of abdominal TB include X-Ray, abdominal CT scan, and colonoscopy.This case report will discuss a case of abdominal TB with complications of peritonitis and is expected to provide an overview of the symptoms, diagnosis, and management of abdominal TB accompanied by peritonitis.