Abstract
Tuberculosis is a common disease in developing countries like India but gastrointestinal involvement comprises only 3% of all extrapulmonary cases. Primary tubercular appendicitis is rare. We report a case of a 15-year-old girl who presented with complaints of acute abdominal pain, vomiting, and fever for 1 day along with tenderness at the McBurney's point suggestive of acute appendicitis. She underwent laparoscopic appendicectomy. Histopathological report of appendix revealed presence of many epitheloid cells with central necrosis compatible with tuberculosis; hence, antitubercular treatment was started postoperatively. We wish to highlight that primary tubercular appendicitis mimics acute appendicitis in general but requires additional antitubercular treatment along with appendicectomy to avoid complications.
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