Rectal submucosal tumor-like lesion originating from intestinal tuberculosis (original) (raw)

Abstract

We present the case of a 55-year-old man who underwent transsacral local excision for a rectal submucosal tumor-like lesion suspected to originate from tuberculosis. The lesion, 2 cm in size, was found incidentally in the posterior wall of the lower rectum during anal fistulectomy. The lesion was apart from the primary crypt of the anal fistula. Barium enema and colonoscopy revealed a protuberant submucosal growth with a shallow depression of the overlying mucosa. Although computed tomography and magnetic resonance imaging showed a well defined round mass within the rectal wall, digital rectal examination suggested extramural origin. Since repeated endoscopic biopsies were negative, we selected the transsacral approach for excisional biopsy to achieve histological diagnosis. The lesion was confined to the rectal wall and the full-thickness rectal wall was excised. Histologically, a foreign-body granuloma with acute inflammation was the main component of the lesion. Caseating granulomas and Langhans' giant cells, consistent with tuberculosis, were also found.

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Authors and Affiliations

1. Department of Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-Koshigaya, 343, Koshigaya, Saitama, Japan
   Toshiyuki Yanagida, Masatoshi Oya, Naoto Iwase, Takashi Okuyama, Haruhiko Terada, Katsumi Sasaki, Shuichi Akao & Hiroshi Ishikawa
2. Department of Pathology, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-Koshigaya, 343, Koshigaya, Saitama, Japan
   Hideaki Satoh

Authors

1. Toshiyuki Yanagida
2. Masatoshi Oya
3. Naoto Iwase
4. Takashi Okuyama
5. Haruhiko Terada
6. Katsumi Sasaki
7. Shuichi Akao
8. Hiroshi Ishikawa
9. Hideaki Satoh

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Yanagida, T., Oya, M., Iwase, N. et al. Rectal submucosal tumor-like lesion originating from intestinal tuberculosis.J Gastroenterol 32, 822–825 (1997). https://doi.org/10.1007/BF02936962

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• Received: 25 September 1996
• Accepted: 28 March 1997
• Issue date: November 1997
• DOI: https://doi.org/10.1007/BF02936962

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