The Mount Sinai Journal of Medicine

 

Volume 73 Number 5
September 2006
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Intestinal Perforation due to Miliary Tuberculosis in a Patient with Behçet’s Disease 825-827
Metin Kapan, M.D.1, Ilhan Karabicak, M.D.2, Fatih Aydogan, M.D.2, Ramazan Kusaslan, M.D.2, and Bunyamin Kisacik, M.D.3

1Professor and 2Resident of Surgery, Department of General Surgery and 3Resident in Internal Medicine, Cerrahpasa Medical School of Istanbul University, Istanbul, Turkey.

Address all correspondence to Ilhan Karabicak, M.D., Pediatric Liver Transplant, Box 1104, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6564; e -mail: ikarabicak@yahoo.com

Accepted for publication December 2005.

Abstract

Gastrointestinal manifestations of both Behçet's disease and intestinal tuberculosis include the signs and symptoms of abdominal pain, weight loss, fever, vomiting, diarrhea and palpable mass in the right lower quadrant.

We report the case of a male patient with Behcet's disease who had multiple ileal perforations due to miliary tuberculosis. It was suspected that the perforations were due to intestinal manifestation of Behçet's disease, but the final pathology report and chest X-ray one week after surgery demonstrated the presence of miliary tuberculosis. To our knowledge, this is the first reported case of Behçet's disease with intestinal perforation due to miliary tuberculosis.

Key Words

Behçet's disease, intestinal perforation, miliary tuberculosis.


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