title: Concurrent caecal and transverse colonic tuberculosis masquerating synchronous colonic carcinoma.
abstract: We present a 46-year-old Somalian woman, who attended our hospital, with 1 week history of worsening epigastric pain and vomiting, worse after eating on a background of 3 months history of four stones loss of weight, malaise and decreased appetite. CT scan of the abdomen revealed an annular 10 cm long mass of the right transverse colon with a second mass of the caecum raising concerns of a synchronous colonic cancer. She underwent an extended right hemi-colectomy due to the development of obstruction from the transverse colon lesion. The histology revealed caseating, transmural granulomatous inflammation consistent with tuberculosis. She had an uneventful recovery and was discharged on the tenth postoperative day on antituberculosis (anti-TB) medications. She reports complete resolution of her symptoms 4 months after discharge.
authors: Department of Emergency Medicine, North Middlesex University Hospital, London, UK. gdemcy@hotmail.com
authors: George A
authors: GA
authors: Demetriou
authors: Manojkumar S
authors: MS
authors: Nair
authors: Romi
authors: R
authors: Navaratnam
mesh_terms: D002277:Carcinoma / Q000175:diagnosis*; D002432:Cecum / Q000382:microbiology / Q000473:pathology*; D044684:Colon, Transverse / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D003108:Colonic Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012998:Somalia; D014376:Tuberculosis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology
references: PLoS Pathog. 2008 Mar 28;4(3):e1000034
references: 18369480
references: Clin Transl Gastroenterol. 2012 Oct 11;3:e24
references: 23238066
references: Southeast Asian J Trop Med Public Health. 2009 May;40(3):505-10
references: 19842436
references: QJM. 2010 Jul;103(7):461-87
references: 20504861
references: N Engl J Med. 2013 Feb 21;368(8):745-55
references: 23425167