Tuberculosis Of The Gastrointestinal Tract- The Great Mimic A Rare Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Back ground: Segmental colonic tuberculosis being a rarity in sigmoid colon with limited no of cases reported so far. Case report: A 68yrs old male presented with lower abdominal pain of 1 month duration, associated with dysuria/difficulty in micturition. There was history of loss of appetite & weight with constipation present on & off. Investigation revealed a stricture involving long segment of sigmoid colon and adherent to posterior wall of the bladder on the left side. Possibility of malignant/inflammatory etiology. Cystoscopy guided biopsy of bladder lesion showed granulomatous lesion. Diagnostic laparoscopy done and proceeded with Laparotomy/Resection of stricture segment of sigmoid colon and primary colocolic anastomosis. Histopathology report confirmed tuberculosis colitis. Patient was started on antituberculous (ATT) medication. Patient is on regular follow up. Conclusion: Tuberculosis is known to involve any segment of gastrointestinal tract. While tuberculosis of the small bowel is common, isolated primary tuberculosis of the large bowel is quite uncommon. Tuberculosis of colon forms only 3 to 4% of intestinal tuberculosis. Tuberculosis of the colon tends to be segmental and usually obstructive symptoms dominate. However the diagnostic challenge is very high when isolated colonic segments are involved with tuberculosis.
Authors and Affiliations
Dr. Sivakumar Madhu
Keywords
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