title: Massive rectal bleeding due to ileal tuberculosis.
abstract: 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.
authors.affiliation: Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Watanabe
authors.forename: M
authors.initials: M
authors.lastname: Kudo
authors.forename: M
authors.initials: M
authors.lastname: Kayaba
authors.forename: H
authors.initials: H
authors.lastname: Shirane
authors.forename: S
authors.initials: S
authors.lastname: Tomita
authors.forename: A
authors.initials: A
authors.lastname: Orino
authors.forename: A
authors.initials: A
authors.lastname: Todo
authors.forename: T
authors.initials: T
authors.lastname: Chiba
mesh_terms: 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
chemical_list: D013667:Technetium