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Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
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Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception
Jacob S Heng1, Alan Baird2, Marco R Novelli3
1Department of General Surgery, Northwick Park Hospital, Harrow, London HA1 3UJ, UK ; Imperial College London Faculty of Medicine, London SW7 2AZ, UK.
Case Reports in Surgery
|June 27, 2015
Summary
Colonic tuberculosis can manifest as filiform polyposis, a rare condition causing bowel intussusception. Early diagnosis and treatment are crucial for managing this complex presentation of tuberculosis.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Abdominal Imaging
Background:
- Colonic tuberculosis presents with diverse histopathological findings.
- Filiform polyposis is a rare manifestation of colonic tuberculosis.
- Colonic tuberculosis poses diagnostic challenges.
Purpose of the Study:
- To report a case of filiform polyposis secondary to colonic tuberculosis.
- To highlight the diagnostic utility of computed tomography (CT) scans.
- To emphasize the importance of early diagnosis and treatment of colonic tuberculosis.
Main Methods:
- Case report of a patient with filiform polyposis and colonic tuberculosis.
- Diagnosis confirmed via abdominal CT scan and histopathological examination.
- Mycobacterium tuberculosis identified in induced sputum samples.
Main Results:
- Filiform polyposis secondary to colonic tuberculosis presented as colo-colonic intussusception.
- Computed tomography (CT) scan accurately diagnosed the intussusception.
- Surgical intervention (hemicolectomy and ileostomy) was required.
- Post-operative treatment for tuberculosis led to patient recovery.
Conclusions:
- Filiform polyposis can be a presenting feature of colonic tuberculosis.
- High index of suspicion is necessary for diagnosing colonic tuberculosis.
- Prompt treatment of tuberculosis is vital for favorable outcomes.
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