부산대학교 도서관

A woman in her 40s developed abdominal pain and vomiting, was diagnosed as having and admitted for ileocecal obstruction, responded to ileus tube placement, and discharged. However, she developed ileus again one month later and was re-hospitalized. Colonoscopy revealed a circumferential annular ulcer at the end of the ileum. We performed laparoscopic right colonic resection, under the suspicion of intestinal obstruction caused by an inflammatory bowel disease such as tuberculosis or tumor. Postoperative histopathological examination of the resected specimen revealed epithelioid granulomas with Langhans giant cells and necrosis, but no caseating granulomas. Staining for mycobacteria was negative, but QuantiFERON (QFT) testing was positive, and we diagnosed intestinal tuberculosis. Herein, we report our case, with a review of the literature on intestinal obstruction caused by intestinal tuberculosis in Japan.