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Rectal tuberculosis: a rare case.

Duryodhan Sahoo1, M K Mahapatra, Sami Salim

  • 1Department of Surgical Gastroenterology, S.C.B. Medical College, Cuttack 753007. dr_sahoo@yahoo.co.in

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|October 9, 2004
PubMed
Summary
This summary is machine-generated.

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A rectal growth mimicking cancer was found in a patient with bleeding per rectum. Diagnosis confirmed rectal tuberculosis, not carcinoma, after surgical resection and biopsy.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Colorectal cancer is a common malignancy presenting with rectal bleeding.
  • Tuberculosis (TB) can affect various organs, including the gastrointestinal tract, though rectal involvement is rare.
  • Clinical presentation of rectal TB can mimic other colorectal pathologies.

Observation:

  • A 35-year-old emaciated female presented with bleeding per rectum and mucoid stool.
  • A rectal growth was identified, clinically suggestive of rectal carcinoma.
  • The patient underwent anterior resection for the rectal growth.

Findings:

  • Histopathological examination of the resected specimen revealed rectal tuberculosis.
  • The growth was confirmed to be tuberculous in origin, not malignant.

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Implications:

  • This case highlights the importance of considering rare infectious etiologies in the differential diagnosis of rectal masses.
  • Early and accurate diagnosis of rectal tuberculosis is crucial to guide appropriate treatment and prevent complications.
  • Increased awareness among clinicians is needed to recognize and manage gastrointestinal tuberculosis effectively.