Colonic Tuberculosis Mimicking Ascending Colon Neoplasm: A Case Report (original) (raw)
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Colonic tuberculosis masquerading as colon cancer
Journal of Surgical Case Reports, 2012
Isolated colonic tuberculosis (TB) is rare, and the symptoms are nonspecific making early diagnosis and management difficult. Although colonoscopy and biopsy is an important diagnostic modality, the features are variable and the distinction from other conditions of the colon, especially Crohn's disease and cancer, may be impossible without surgical resection. We report a case of ascending colon TB which was mistaken for colonic cancer during colonoscopy, with non-specific results on biopsy. The diagnosis was finally made when the histopathology report was received. The diagnostic dilemma of colonic TB is discussed.
A Case of Tuberculosis Mimicking Colon Cancer
Turkish Journal of Colorectal Disease, 2017
Tüm dünyada tüberküloz (TB) insidansı giderek artmaktadır. Daha sıklıkla pulmoner tutulum izlense de hastaların %3'ü abdominal tutulum ile başvurmaktadır ve malignite ile ayırıcı tanısı yapılması gerekmektedir. Abdominal TB'de klinik prezentasyon karın ağrısı, ishal, ateş, kilo kaybı şeklinde olup Crohn hastalığı ve gastrointestinal sistem maligniteleri ile ayırıcı tanı yapmak zordur. Bu yazıda klinik ve görüntüleme yöntemlerinde kolon tümörü ile karışabilecek çekal TB hastasını bildirmeyi amaçladık.
2013
Gastrointestinal tuberculosis occurs most often in the ileocecal region, but it can also occur in other locations in the gastrointestinal system. However, few cases with isolated gastrointestinal involvement have been reported. A 27-year-old female presented with abdominal pain, fatigue, weakness, weight loss, and anorexia. A mass was identified in her right lower abdominal quadrant on physical examination. Abdominal computed tomography (CT) showed a thickened right colon wall with marked narrowing of the lumen, and mucosal ulcers at the hepatic flexure and circular narrowing of the lumen 10cm distal to these lesions were identified on colonoscopic examination. Laparoscopic right hemicolectomy was performed due to the fact that malignancy could not be rule out. Gastrointestinal tuberculosis is often confused with inflammatory diseases, and even histopathological diagnosis is difficult in most cases. In addition to this, differentiation between malignancies and infectious diseases is...
Journal of Surgical Case Reports
Intestinal tuberculosis (TB) is a rare condition comprising a majority of the extra-pulmonary TB cases. Owing to a similar clinical presentation, ultrasonographic and biopsy findings of intestinal TB with that of other abdominal pathologies such as carcinoma colon, their clinical delineation is very difficult unless aided with other modalities of investigations such as colonoscopy, culture of the biopsy material, etc. and even advanced methods such as polymerase chain reaction and gene X-pert of the biopsy material. Having all these investigations may not even lead to a correct diagnosis of intestinal TB as evidenced in the reported cases in the literature, advocating the need of diagnostic laparoscopy in the diagnosis of intestinal TB to eliminate extensive and unnecessary surgeries. Here, we present a case of intestinal TB in a 51-year-gentleman who got diagnosed in the course of treatment for a suspected carcinoma colon.
Abdominal tuberculosis mimicking intra-abdominal malignancy: A case report
The Nigerian Health Journal, 2015
Background: Abdominal TB usually presents with nonspecific findings and may thus mimic a multitude of gastrointestinal disorders. Abdominal tuberculosis may therefore present as large and palpable intra-abdominal masses usually arising from lymphadenopathy which may mimic lymphomas and other malignancies. We present the report of a patient with suspected abdominal malignancy diagnosed with abdominal tuberculosis. Methods: The case records of a patient who presented at the university of Port Harcourt Teaching hospital, medical unit with an abdominal mass diagnosed with abdominal Tb and a review of the literature utilizing google, PubMed, medline and existing literature was utilized. Results: Abdominal Tb is a major contributor to the burden of EPTb with reports of increasing incidence. Based on the wide spectrum of symptoms and signs originating from various parts of the abdomen the disease may be misdiagnosed. Conclusion: In conclusion abdominal Tb still remains a disease which ...
Duodenal tuberculosis mimicking a malignant tumor - a case report
Duodenal tuberculosis is very rare and accounts for only 1% of abdominal tuberculosis. We report a case of duodenal tuberculosis, which mimicked a malignant tumor. 18-year old boy was admitted with diffuse abdominal pain and constipation for 2-3 days, CT abdomen revealed duodenal wall thickening and nodules on the surface of liver, simulating duodenal carcinoma with liver metastasis. Since patient had presented with acute abdomen, he was referred to surgical service and underwent exploratory laparotomy with gastro-jejunostomy. Duodenal thickening and liver nodules were noted and biopsy revealed tubercular origin.
Colonic tuberculosis: a case report
Future Science OA
Aim: Colonic tuberculosis is rare. It accounts for 2–3% of abdominal tuberculosis. Clinical, radiological and endoscopic features are nonspecific. The diagnosis must be considered in front of chronic abdominal pain, vesperal fever and weight loss with on colonoscopy the presence of nodules or ulcers. The diagnosis is made on pathological findings. Case report: We report a case of an 82-year-old female patient with the diagnosis of colonic tuberculosis. The diagnosis were suspected on clinical presentation: chronic abdominal pain, fever and weight loss. The colonoscopy showed a nodular aspect of the left and sigmoid colonic mucosa and the pathology examination of the multiple biopsy specimens showed an epithelioid and gigantocellular granulomas with caseous necrosis. Conclusion: In front of a nonspecific clinical and endoscopic aspects, multiples colonic biopsies are mandatory to rule out differential diagnosis and confirm colonic tuberculosis.
Left Sided Colonic Tb Mimicking Carcinoma Colon : Rare Manifestation of A Common Disease
2016
Background: Involvement of the left colon by tuberculosis is a relatively uncommon presentation and the clinical presentations are very similar to carcinoma. Bleeding per rectum and constipation are the usual presenting features. Colonoscopy may reveal a mass lesion but only histopathological examination will be able to differentiate tuberculosis from malignancy. Case Report: A 46 year old female patient presented with complaints of abdominal distension and bleeding per rectum on and off. Colonoscopic biopsy and histopathological examination of the mass lesion from the descending colon revealed mucosal ulceration and presence of submucosal granuloma and Langhans’ giant cell suggesting tuberculosis. Segmental colonic resection with primary anastomosis was done uneventfully. Conclusion: Left sided colon also may be affected with tuberculosis and should be kept as a differential diagnosis of patients presenting with bleeding per rectum.
Isolated Gastric Tuberculosis Mimicking Malignancy
2016
Isolated tuberculosis of upper gastrointestinal tract is a rare pathology, often mimicking malignancy in clinical presentation and radiological features. We present a case of middle aged gentleman with isolated tuberculosis of stomach, proven on histopathology and showing remarkable improvement on follow up.