 
        Specialist Paediatrics, Al Jalila Children Hospital, UAE
Dr. Aji Mathew is Paediatric Pulmonology Specialist at Al Jalila Children’s and has nine years of post residency experience in paediatrics including critical care and emergency in different countries including Kuwait, India and Singapore. After completing his Diploma in Child Health from the Institute of Child Health, Chennai, and MD Paediatrics from Kasturba medical college Mangalore in 2008
 Case Report   
								
																Intestinal Tuberculosis Presenting as Massive Lower Gastrointestinal Bleeding: A Rare Presentation in Child 
																Author(s): Aji Mathew*, Yusuf Parvez and Sen Thomas             
								
																
						 Background: Intestinal tuberculosis is a form of extra pulmonary tuberculosis that can involve any part of the gastrointestinal tract. It can present with nonspecific symptoms like chronic abdominal pain, anorexia, fatigue, fever, night sweats, weight loss, diarrhea, constipation, or blood in the stools. Acute presentation including intestinal obstruction and perforation have been reported in the literature; however massive lower gastrointestinal bleeding as one of the presenting symptom is rare. The management includes anti-tubercular drugs along with surgical intervention in acute presentation.
Case characteristic: 11-year-old girl was admitted with complaints of fever and vague abdominal pain for one-week duration.
Observation/intervention: The child was having recent weight loss, hypo albuminemia and strongly p.. View more»