The Big Ten: Leading Causes Behind Intestinal Obstruction

9. Tuberculosis: The Ancient Adversary’s Grip on the Gut

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Tuberculosis The Ancient Adversary's Grip on the Gut
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When one hears of tuberculosis (TB), the lungs often come to mind. However, this ancient disease, which has been documented since pharaonic times, can affect the intestines too. Intestinal TB can result from the spread of the bacteria from the lungs or direct ingestion of contaminated food.

The intestines, when infected, might develop ulcers, scars, and even strictures, leading to obstruction. The ileocecal region, where the small intestine meets the large intestine, is the most commonly affected site.

What’s intriguing is how TB, primarily a respiratory disease, can mimic many gastrointestinal disorders. Symptoms include abdominal pain, weight loss, and night sweats. Diagnosis can be challenging, often requiring tissue samples.

The treatment, however, aligns with standard TB regimens, involving a combination of antibiotics. This manifestation of TB is a stark reminder of the disease’s versatility and its ability to affect nearly any organ system in the human body. (9)

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