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Gastrointestinal tuberculosis as a cause of massive bleeding
Kazuko Beppu1, Taro Osada, Kenshi Matsumoto
1Department of Gastroenterology, Juntendo University, School of Medicine, Tokyo, Japan.
Summary
Gastrointestinal tuberculosis can cause rare but severe bleeding requiring transfusions. Early diagnosis and treatment are crucial for managing this condition.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Internal Medicine
Background:
- Gastrointestinal tuberculosis (GITB) is an uncommon form of abdominal tuberculosis.
- While minor bleeding is frequent, massive hemorrhage is a rare presentation of GITB.
Observation:
- A 72-year-old female presented with hematochezia (bloody stools).
- Endoscopic examination revealed multiple ulcers in the large intestine and duodenum.
- Initial hemostasis was performed, but recurrent bleeding occurred from untreated ulcers.
Findings:
- Fecal cultures confirmed the diagnosis of gastrointestinal tuberculosis.
- The patient was successfully treated with a standard antituberculosis regimen.
- The patient achieved remission following treatment.
Implications:
- Gastrointestinal tuberculosis must be considered in cases of massive, intractable gastrointestinal bleeding.
- This case highlights the importance of considering infectious etiologies in obscure GI bleeding.
- Prompt diagnosis and appropriate anti-TB therapy can lead to favorable outcomes.
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