{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:46:17Z","timestamp":1782996377413,"version":"3.54.5"},"reference-count":13,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,21]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Intestinal tuberculosis (TB) most commonly involves the ileo-caecal region. Isolated involvement of the jejunum without concomitant ileo-caecal or colonic disease is exceptionally rare. We report the case of a woman in her early 60s who presented with a 2-year history of postprandial abdominal pain, intermittent constipation, anorexia and weight loss, followed by acute-onset vomiting suggestive of small bowel obstruction. Contrast-enhanced CT demonstrated a short-segment jejunal stricture with proximal dilatation. Enteroscopy confirmed luminal narrowing. Ileo-colonoscopy showed no ileo-caecal involvement. The patient underwent laparoscopy-assisted segmental jejunal resection. Histopathology revealed necrotising epithelioid granulomatous inflammation consistent with TB. Cartridge-based nucleic acid amplification test (GeneXpert MTB\/RIF assay system, Cepheid, Sunnyvale, California, USA) was negative. She was commenced on standard antitubercular therapy with a good clinical response. This case highlights the importance of considering TB in isolated small bowel strictures in endemic regions, even in the absence of ileo-caecal disease or systemic features.<\/jats:p>","DOI":"10.1136\/bcr-2026-273414","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:05:29Z","timestamp":1782993929000},"page":"e273414","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Isolated jejunal tuberculosis presenting as chronic intestinal obstruction"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1683-9348","authenticated-orcid":false,"given":"Supriya","family":"Adiody","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Jubilee Mission Medical College Hospital and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"T K","sequence":"additional","affiliation":[{"name":"Gastroenterology, Jubilee Mission Medical College Hospital and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7468-4626","authenticated-orcid":false,"given":"Vishnu","family":"Narayanan S","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Jubilee Mission Medical College Hospital and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikraman","family":"B","sequence":"additional","affiliation":[{"name":"General Surgery, Jubilee Mission Medical College Hospital and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"2026070205052255000_19.7.e273414.1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i40.14831"},{"key":"2026070205052255000_19.7.e273414.2","first-page":"305","article-title":"Abdominal tuberculosis","volume":"120","author":"Sharma","year":"2004","journal-title":"Indian J Med Res"},{"key":"2026070205052255000_19.7.e273414.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.207_a.x"},{"key":"2026070205052255000_19.7.e273414.4","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.74.874.459"},{"key":"2026070205052255000_19.7.e273414.5","unstructured":"Thanveer S , Madhavan S , Singh M , et al . Jejunal tuberculosis presenting as acute intestinal obstruction in a 74-year-old patient: an uncommon encounter. Cureus 2024;16."},{"key":"2026070205052255000_19.7.e273414.6","first-page":"2971","article-title":"Tuberculosis of the jejunum presenting as perforation peritonitis: a rare case report","volume":"7","author":"Gupta","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"2026070205052255000_19.7.e273414.7","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjs014","article-title":"A rare cause of faecal peritonitis: jejunal perforation in a patient undergoing treatment for pulmonary tuberculosis","volume":"2012","author":"Patel","year":"2012","journal-title":"J Surg Case Rep"},{"key":"2026070205052255000_19.7.e273414.8","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0240-7"},{"key":"2026070205052255000_19.7.e273414.9","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.gie.2009.11.027","article-title":"The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction","volume":"71(4)","author":"Harrison","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"2026070205052255000_19.7.e273414.10","first-page":"175","article-title":"Magnetic resonance imaging for evaluation of Crohn\u2019s disease: validation of parameters of severity and quantitative index","volume":"60","author":"Rimola","year":"2011","journal-title":"Gut"},{"key":"2026070205052255000_19.7.e273414.11","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2012-304353"},{"key":"2026070205052255000_19.7.e273414.12","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i4.433"},{"key":"2026070205052255000_19.7.e273414.13","unstructured":"WHO operational handbook on tuberculosis. Module 3: Diagnosis\u2014rapid diagnostics for tuberculosis detection. Geneva: World Health Organization, 2023."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-273414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:05:38Z","timestamp":1782993938000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-273414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":13,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,2]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2026-273414"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-273414","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}