title: Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception.
abstract: Filiform polyposis represents a rare but recognised manifestation on the varied spectrum of histopathology in colonic tuberculosis. We report a case of filiform polyposis secondary to colonic tuberculosis presenting as colo-colonic intussusception diagnosed on an abdominal computed tomography (CT) scan. The patient required urgent hemicolectomy and defunctioning ileostomy. Examination of the resected bowel lesions revealed filiform polyposis. Induced sputum samples from the patient grew Mycobacterium tuberculosis. The patient recovered well from the surgery and received treatment for tuberculosis. At last follow-up, he was awaiting the reversal of his ileostomy. The protean nature of histological findings in colonic tuberculosis and other current diagnostic challenges are discussed. The importance of maintaining a high index of suspicion for colonic tuberculosis and instituting early treatment is highlighted in this case.
authors.affiliation: Department of General Surgery, Northwick Park Hospital, Harrow, London HA1 3UJ, UK ; Imperial College London Faculty of Medicine, London SW7 2AZ, UK.
authors.forename: Jacob S
authors.initials: JS
authors.lastname: Heng
authors.affiliation: Department of Pathology, St. Mark's Hospital, Harrow, London HA1 3UJ, UK.
authors.forename: Alan
authors.initials: A
authors.lastname: Baird
authors.affiliation: Department of Pathology, University College Hospital, London NW1 2BU, UK.
authors.forename: Marco R
authors.initials: MR
authors.lastname: Novelli
authors.affiliation: Imperial College London Faculty of Medicine, London SW7 2AZ, UK ; Department of Infectious Diseases, Northwick Park Hospital, Harrow, London HA1 3UJ, UK.
authors.forename: Robert N
authors.initials: RN
authors.lastname: Davidson
authors.affiliation: Department of General Surgery, Northwick Park Hospital, Harrow, London HA1 3UJ, UK ; Imperial College London Faculty of Medicine, London SW7 2AZ, UK.
authors.forename: Rajinder P
authors.initials: RP
authors.lastname: Bhutiani