Skip to main content

Right Hemicolectomy for Intestinal Obstruction Due to Yersinia pseudotuberculosis: A Histopathological Surprise

Abstract

A 56-year-old man was diagnosed to be having enteric fever elsewhere and put on antibiotics. Despite therapy over 3 months, this patient had recurrent bouts of fever with chills, tiredness, and lower abdominal pain, distension, and vomiting with which he was admitted to our hospital. CT abdomen and pelvis showed significant wall thickening in the cecum and terminal ileum, with marked luminal narrowing and marked dilatation of proximal small bowel loops. Clinically a diagnosis of intestinal obstruction was made and the patient underwent exploratory laparotomy and right hemicolectomy. Histopathological examination showed necrotizing enteritis with necrotizing mesenteric lymphadenitis consistent with Yersinia pseudotuberculosis. We report a rare and possibly the first case of intestinal obstruction due to Yersinia infection, requiring right hemicolectomy.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. 1.

    Bottone EJ (1997) Yersinia enterocolitica: the charisma continues. Clin Microbiol Rev 10(2):257–276

    CAS  PubMed Central  PubMed  Google Scholar 

  2. 2.

    Gayraud M, Scavizzi MR, Mollaret HH, Guillevin L, Hornstein MJ (1993) Antibiotic treatment of Yersinia enterocolitica septicemia: a retrospective review of 43 cases. Clin Infect Dis 17(3):405–410

    CAS  PubMed  Article  Google Scholar 

  3. 3.

    Al Mohsen I, Luedtke G, English BK (1997) Invasive infections caused by Yersinia enterocolitica in infants. Pediatr Infect Dis J 16:253

    CAS  Article  Google Scholar 

  4. 4.

    Jani AA, Chen P (2008) Overview—eMedicine specialties. Infectious diseases. Bacterial infections: Y. pseudotuberculosis. Updated September 8, 2008, http://emedicine.medscape.com/article/226871

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to K. G. Srinivasa.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Srinivasa, K.G., Vidhya, J.V., Manohar, T.M. et al. Right Hemicolectomy for Intestinal Obstruction Due to Yersinia pseudotuberculosis: A Histopathological Surprise. Indian J Surg 75, 214–216 (2013). https://doi.org/10.1007/s12262-012-0580-y

Download citation

Keywords

  • Yersinia pseudotuberculosis
  • Intestinal obstruction