@article{Aminullah_Rima_Naser_Kabir_Fuad_Ahmed_Hoque_2017, title={Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report}, volume={3}, url={https://www.banglajol.info/index.php/BJID/article/view/33835}, DOI={10.3329/bjid.v3i2.33835}, abstractNote={<p><span>A 18 years old boy presented with severe diffuse abdominal pain, constipation, abdominal distention, fever <span>and diagnosed as a case of perforation as free gas noted under both dome of the diaphragm. After <span>resuscitation, exploratory laparotomy was done and diagnosed as a case of multiple spontaneous leaky <span>perforations of jejunum and ileum 25 to 30 cm from duodeno-Jejunal flexure (DJ) up to terminal ileum. <span>Peritoneal toileting and excisional biopsy of the mesenteric lymph node were done. Operative and <span>postoperative period were uneventful. Histopathological examination of the resected lymph node revealed <span>granulomatous inflammation compatible with tuberculosis. Anti-tubercular therapy was started and <span>continued for 6 months. Patient was discharged on the 12<span>th <span>postoperative day in a good condition. At 3 <span>months of follow up the patient was asymptomatic and thriving well. Free perforation is one of the most <span>feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of <span>perforation, while the majority of (90%) perforations are solitary. </span></span></span></span></span></span></span></span></span></span></span></span></span></p><p><span><span><span><span><span><span><span><span><span><span><span><span><span>Bangladesh Journal of Infectious <span>Diseases 2016;3(2):52-54</span></span></span></span></span></span></span></span></span></span></span><br /><br class="Apple-interchange-newline" /></span></span></span></p>}, number={2}, journal={Bangladesh Journal of Infectious Diseases}, author={Aminullah, Md and Rima, Fahmida Akter and Naser, Jamal Abdul and Kabir, Farzana and Fuad, Waliullah and Ahmed, Fahria and Hoque, Rezwanul}, year={2017}, month={Aug.}, pages={52–54} }