title: Tuberculosis of rectum simulating malignancy and presenting as rectal prolapse - a case report and review.
abstract: Tuberculosis of the gastrointestinal tract (GIT) occurs as a primary lesion or secondary to a focus of tuberculosis elsewhere in the body, most commonly in the lungs. Tuberculosis can affect any part of the GIT from the oesophagus to the anal canal. Two main types are - the tuberculous ulcer and the rarer hypertrophic type which is generally found at the ileocecal junction, less commonly in the colon or rectum. Tuberculosis of bowel distal to ileocecal junction is rare and is seldom considered as a differential diagnosis of rectal stricture (2%). We report a case of rectal tuberculosis presenting with rectal prolapse and masquerading as malignancy, clinically, radiologically as well as on colonoscopy. The diagnosis was confirmed by repeated histopathological examination. The patient underwent definitive surgery along with anti-tuberculous therapy.
authors.affiliation: Department of Surgery, Civil Hospital, Ahmedabad, India. patilsalil23@gmail.com
authors.forename: Salil
authors.initials: S
authors.lastname: Patil
authors.forename: A G
authors.initials: AG
authors.lastname: Shah
authors.forename: Hardik
authors.initials: H
authors.lastname: Bhatt
authors.forename: Nikhil
authors.initials: N
authors.lastname: Nalawade
authors.forename: Akshaykumar
authors.initials: A
authors.lastname: Mangal
mesh_terms: D000995:Antitubercular Agents / Q000008:administration & dosage*; D003082:Colectomy / Q000379:methods; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004210:Dissection; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000175:diagnosis*; D012005:Rectal Prolapse / Q000209:etiology / Q000601:surgery; D012007:Rectum / Q000473:pathology*; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy
chemical_list: D000995:Antitubercular Agents