{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:29:42Z","timestamp":1770355782543,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pott's disease typically presents with back pain and systemic symptoms, but atypical presentations can obscure diagnosis. We describe a rare manifestation where the initial presentation was acute small bowel obstruction. A 20-year-old female presented with acute abdominal pain, distension, and vomiting, with a 3-month history of intermittent lower back pain. Computed tomography scan revealed distal ileal obstruction due to wall thickening adjacent to a left psoas abscess and a large paravertebral abscess. Aspirated pus confirmed Mycobacterium tuberculosis. The diagnosis was small bowel obstruction secondary to ileal thickening from an adjacent psoas and paravertebral abscesses. She was managed conservatively with abscess drainage and anti-tuberculous therapy. Intestinal obstruction is a rare presentation of spinal tuberculosis. In endemic areas, tuberculosis should be considered in the differential diagnosis of acute abdomen. Prompt imaging and microbiological confirmation, coupled with multidisciplinary management, are essential to achieve favorable outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjag023","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:20:57Z","timestamp":1768825257000},"source":"Crossref","is-referenced-by-count":0,"title":["An unusual aspect of Pott\u2019s disease: small bowel obstruction from a tuberculous psoas abscess"],"prefix":"10.1093","volume":"2026","author":[{"given":"Bikram","family":"Bhandari","sequence":"first","affiliation":[{"name":"B.P. Koirala Institute Of Health Sciences , Dharan 56700 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh Prasad","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Surgery, B.P. Koirala Institute of Health Sciences , Dharan 56700 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Nalbo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Birat Medical College Teaching Hospital , Biratnagar 56613 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabita","family":"Neupane","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Imaging, B.P. Koirala Institute of Health Sciences , Dharan 56700 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grishma","family":"Khadka","sequence":"additional","affiliation":[{"name":"Department of Surgery, B.P. Koirala Institute of Health Sciences , Dharan 56700 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aashish","family":"Baniya","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute Of Health Sciences , Dharan 56700 ,","place":["Nepal"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"2026020509494999700_ref1","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.jcot.2012.04.001","article-title":"Diagnostic imaging in Pott\u2019s disease of the spine","volume":"3","author":"Malhotra","year":"2012","journal-title":"J Clin Orthop Trauma"},{"key":"2026020509494999700_ref2","doi-asserted-by":"publisher","first-page":"32","DOI":"10.36106\/ijar\/2904181","article-title":"A case of spinal tuberculosis misevaluated as intestinal obstruction","volume":"9","author":"Chepuri","year":"2021","journal-title":"Int J Anat Res"},{"key":"2026020509494999700_ref3","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1186\/s40001-024-02198-4","article-title":"Surgical treatment of spinal tuberculosis: an updated review","volume":"29","author":"Gan","year":"2024","journal-title":"Eur J Med Res"},{"key":"2026020509494999700_ref4","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1179\/2045772311Y.0000000023","article-title":"Spinal tuberculosis: a review","volume":"34","author":"Garg","year":"2011","journal-title":"J Spinal Cord Med"},{"key":"2026020509494999700_ref5","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/978-3-319-50712-5_31","volume-title":"Tuberculosis of the Central Nervous System","author":"Srivastava","year":"2017"},{"key":"2026020509494999700_ref6","doi-asserted-by":"publisher","first-page":"103239","DOI":"10.1016\/j.amsu.2021.103239","article-title":"Pott\u2019s disease associated with psoas abscess: case report","volume":"74","author":"Saint Clair","year":"2022","journal-title":"Ann Med Surg"},{"key":"2026020509494999700_ref7","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1302\/0301-620X.49B4.639","article-title":"Psoas abscess: a complication of tuberculosis of the spine","volume":"49","author":"Hodgson","year":"1967","journal-title":"J Bone Joint Surg Br"},{"key":"2026020509494999700_ref8","volume-title":"Consolidated Guidelines on Tuberculosis: Module 4: Treatment: Drug-resistant Tuberculosis Treatment","author":"World Health Organization","year":"2022"},{"key":"2026020509494999700_ref9","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/j.eimc.2012.09.005","article-title":"Musculoskeletal tuberculosis","volume":"31","author":"Pigrau-Serrallach","year":"2013","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"2026020509494999700_ref10","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1302\/0301-620X.92B7.24668","article-title":"Tuberculosis of the spine: a fresh look at an old disease","volume":"92","author":"Jain","year":"2010","journal-title":"J Bone Joint Surg Br"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag023\/66785193\/rjag023.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag023\/66785193\/rjag023.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:49:56Z","timestamp":1770302996000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag023\/8464989"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag023","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,31]]},"article-number":"rjag023"}}