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Massive rectal bleeding due to jejunal and colonic tuberculosis
M A Joshi1, D Balsarkar, A Abhyankar
1Department of Surgery, L.T.M. Medical College, Sion, Mumbai.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|May 6, 1999
Summary
Massive rectal bleeding during advanced pregnancy, caused by colonic tuberculosis, is rare but critical. Prompt surgical intervention and antitubercular treatment led to patient recovery.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
- Infectious Diseases
Background:
- Colonic tuberculosis is an uncommon cause of gastrointestinal bleeding.
- Intestinal tuberculosis presents diagnostic challenges, especially during pregnancy.
Observation:
- A pregnant patient with intrauterine fetal demise presented with massive rectal bleeding.
- The bleeding was attributed to colonic tuberculosis.
Findings:
- The patient underwent left colon resection, end colostomy, and rectal stump closure.
- Hysterotomy was performed for fetal removal.
- Antitubercular therapy initiated post-operatively resulted in clinical improvement.
Implications:
- This case highlights the importance of considering colonic tuberculosis in pregnant patients with severe rectal bleeding.
- Early diagnosis and management are crucial for maternal outcomes.
- Surgical intervention combined with antitubercular treatment can be effective.