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Ileocecal and hepatic tuberculosis mimicking a metastatic cecal malignancy: Case report
Imen Ben Ismail1, Saber Rebii1, Hamadi Ben Chaabane1
1Department of general surgery, Trauma and Burns Center Ben Arous Tunisia.
Clinical Case Reports
|May 24, 2021
Summary
In endemic regions, consider tuberculosis (TB) when diagnosing suspicious liver and colon lesions. This is crucial alongside ruling out colon cancer metastasis.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Oncology
Background:
- Colorectal cancer is a common malignancy with metastatic potential.
- Tuberculosis (TB) can present with diverse extrapulmonary manifestations.
- Hepatic and colonic lesions are frequently associated with advanced colorectal cancer.
Observation:
- A suspicious hepatic lesion was observed concurrently with a colonic lesion.
- The patient was in Tunisia, a country endemic for tuberculosis.
Findings:
- The differential diagnosis for concurrent hepatic and colonic lesions must include tuberculosis.
- Metastasis from colonic cancer is a primary consideration, but TB should not be overlooked.
Implications:
- Early consideration of TB in endemic areas can prevent diagnostic delays.
- Awareness of TB's potential to mimic malignancy improves patient outcomes.
- This highlights the importance of considering infectious etiologies in oncology settings.
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