Massive rectal bleeding due to ileal tuberculosis.
A patient with massive rectal bleeding due to ileal tuberculosis is reported. Technetium-99m labelled red blood cell scintigraphy indicated hemorrhage from the ileum, and laparotomy was then carried out. A 70-cm segment of ileum containing ulcers and erosions was resected, and epitheloid granuloma with Langhans-type giant cell was found in the resected specimen. Massive rectal bleeding is considered a rare presenting symptom of intestinal tuberculosis. Intestinal tuberculosis, including small intestinal tuberculosis, although uncommon, should be taken into consideration as a cause of rectal bleeding.
Watanabe
T
T
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Japan.
Kudo
M
M
Kayaba
M
M
Shirane
H
H
Tomita
S
S
Orino
A
A
Todo
A
A
Chiba
T
T
D005243:Feces / Q000382:microbiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D009190:Myelodysplastic Syndromes / Q000150:complications; D011877:Radionuclide Imaging; D016463:Sweet Syndrome / Q000150:complications; D013667:Technetium; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000000981:diagnostic imaging
D013667:Technetium