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Mukewar S, Mukewar S, Ravi R, Prasad A, S Dua K. Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment. Clin Transl Gastroenterol 2012; 3:e24. doi: 10.1038/ctg.2012.19.

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Article

Intestinal Tuberculosis Mimicking Colon Carcinoma

1Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey

2Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey

3Department of Pathology, Sakarya University Research and Educational Hospital, Sakarya, Turkey


Global Journal of Surgery. 2013, Vol. 1 No. 3, 15-18
DOI: 10.12691/js-1-3-2
Copyright © 2013 Science and Education Publishing

Cite this paper:
Fatih Altintoprak, Enis Dikicier, Guner Cakmak, Yusuf Arslan, Gokhan Akbulut, Osman Nuri Dilek, Zeynep Kahyaoglu. Intestinal Tuberculosis Mimicking Colon Carcinoma. Global Journal of Surgery. 2013; 1(3):15-18. doi: 10.12691/js-1-3-2.

Correspondence to: Fatih Altintoprak, Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey. Email: fatihaltintoprak@yahoo.com

Abstract

Gastrointestinal tuberculosis occurs most often in the ileocecal region, but it can also occur in other locations in the gastrointestinal system. However, few cases with isolated gastrointestinal involvement have been reported. A 27-year-old female presented with abdominal pain, fatigue, weakness, weight loss, and anorexia. A mass was identified in her right lower abdominal quadrant on physical examination. Abdominal computed tomography (CT) showed a thickened right colon wall with marked narrowing of the lumen, and mucosal ulcers at the hepatic flexure and circular narrowing of the lumen 10cm distal to these lesions were identified on colonoscopic examination. Laparoscopic right hemicolectomy was performed due to the fact that malignancy could not be rule out. Gastrointestinal tuberculosis is often confused with inflammatory diseases, and even histopathological diagnosis is difficult in most cases. In addition to this, differentiation between malignancies and infectious diseases is also necessary.

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