Hematochezia: An Uncommon Presentation of Colonic Tuberculosis
Joint Authors
Ayoub, Fares
Khullar, Vikas
Powers, Harry
Pham, Angela
Islam, Shehla
Suman, Amitabh
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Abdominal tuberculosis (TB) is an uncommon entity in the United States.
Colonic TB is reported in 2-3% of patients with abdominal TB.
It is frequently misdiagnosed as Crohn’s disease or carcinoma of the colon due to their shared clinical, radiographic, and endoscopic presentations.
We present a case of a 72-year-old male with colonic tuberculosis presenting as hematochezia.
Our patient presented with shortness of breath and weight loss.
Chest X-ray demonstrated ill-defined bilateral parenchymal opacities in the perihilar, mid, and lower lung zones.
The patient was diagnosed and treated for community acquired pneumonia, with no improvement.
Hematochezia complicated by symptomatic hypotension developed later in the course of admission.
Colonoscopy revealed multiple ulcers at the anus and transverse and ascending colon as well as the cecum with stigmata of bleeding.
Biopsy of a sigmoid ulcer was consistent with colonic tuberculosis.
Antitubercular therapy was initiated, but the patient passed away secondary to multiorgan failure 29 days into admission.
American Psychological Association (APA)
Ayoub, Fares& Khullar, Vikas& Powers, Harry& Pham, Angela& Islam, Shehla& Suman, Amitabh. 2017. Hematochezia: An Uncommon Presentation of Colonic Tuberculosis. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145602
Modern Language Association (MLA)
Ayoub, Fares…[et al.]. Hematochezia: An Uncommon Presentation of Colonic Tuberculosis. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1145602
American Medical Association (AMA)
Ayoub, Fares& Khullar, Vikas& Powers, Harry& Pham, Angela& Islam, Shehla& Suman, Amitabh. Hematochezia: An Uncommon Presentation of Colonic Tuberculosis. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145602
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145602