A UNUSUAL PRESENTATION OF KOCHS ABDOMEN WITH MULTIPLE ILEAL PERFORATIONS- A RARE CASE

Hypothesis- whether kochs abdomen causes multiple ileac perforation or not . Methodology- A case report with A 38-year old male presented with- Ø abdominal pain since 1 month Ø Constipation since 4 days Ø Anorexia since 4 days On examination – abdomen was distended, diffuse, tenderness with guarding and rigidity with absent of bowel sounds. Conclusion –TB should always considered in differential diagnosis in patients presenting with abdominal pain/distension, fever and ascites or with abdominopelvic mass. Recurrent bowel obstruction or anastomotic disruptions also give clues of its diagnosis.