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Colonic tuberculosis masquerading as colon cancer
A Kumar1, M Patodia1, Pk Pandove1
1Rajindra Hospital, Patiala, Punjab, India.
Journal of Surgical Case Reports
|June 25, 2014
Summary
Isolated colonic tuberculosis (TB) is rare and presents nonspecific symptoms, complicating diagnosis. This case highlights the diagnostic challenges, often requiring histopathology for definitive identification, especially when mimicking colon cancer.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pathology
Background:
- Isolated colonic tuberculosis (TB) is an uncommon condition.
- Nonspecific symptoms of colonic TB hinder early diagnosis and treatment.
- Distinguishing colonic TB from Crohn's disease and colon cancer can be challenging.
Purpose of the Study:
- To report a case of ascending colon TB misdiagnosed as colon cancer.
- To discuss the diagnostic difficulties associated with colonic TB.
Main Methods:
- Case report of ascending colon TB.
- Diagnostic procedures included colonoscopy and biopsy.
- Final diagnosis confirmed by histopathology post-surgical resection.
Main Results:
- Colonoscopy and biopsy findings were non-specific.
- Colonic TB was initially mistaken for colonic cancer.
- Histopathology was crucial for the definitive diagnosis.
Conclusions:
- Colonic TB presents a diagnostic dilemma due to variable features.
- Distinguishing colonic TB from malignancy and inflammatory bowel disease is difficult.
- Histopathological examination is essential for accurate diagnosis of colonic TB.
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