Right Colectomy for an Inflammatory Mass in the Cecum Later Found to Be Tuberculosis

Author:

Nawras Mohamad1ORCID,Bosio Raul2,Sipe Eilynn2,Klein Peter2,Pannell Stephanie M.13

Affiliation:

1. University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA

2. ProMedica Toledo Hospital, Toledo, OH, USA

3. Department of Surgery, University of Toledo, Toledo, OH, USA

Abstract

Gastrointestinal tuberculosis (TB) is a rare manifestation of extra-pulmonary TB that is known to mimic many different gastrointestinal diseases. We present a case of an 85-year-old male patient with delayed diagnosis of gastrointestinal TB who underwent colonic resection for a cecal mass that was initially suspected to be malignant. Acid-fast staining of the surgical specimen later revealed acid-fast bacilli and multiple lymph nodes with necrotizing granulomas. The purpose of this study is to stress the importance of including gastrointestinal TB as a differential diagnosis for patients with suspected colorectal malignancy, especially when initial biopsy results do not reveal malignant features.

Publisher

SAGE Publications

Subject

General Medicine

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