Anorectal tuberculosis as a chronic rectal mass mimicking rectal prolapse in a child-a case report
| Autor: | Andrew B. Trotter, Kamal Pandit, Shekhar Bhatta, Suman Khanal |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Tuberculosis Colonoscopy Case Report Gastrointestinal tuberculosis Palpation 03 medical and health sciences 0302 clinical medicine Nepal Medicine medicine.diagnostic_test business.industry Sigmoid colon General Medicine Rectal examination Anorectal tuberculosis medicine.disease Pediatric tuberculosis Rectal prolapse medicine.anatomical_structure 030220 oncology & carcinogenesis Granuloma 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2018.07.012 |
| Popis: | Tuberculosis of the colon commonly involves the ascending,transverse, or sigmoid colon while rectal involvement in tuberculosis is uncommon and poorly characterized. We report a six-year-old male from Nepal who presented with abdominal pain and difficulty passing stool for two years. On per rectal examination, palpation revealed a circumferential rectal mass. On further evaluation, CT scan showed mural thickening and luminal narrowing in the ano-rectum. Colonoscopy with biopsy showed caseating granuloma and positive acid fast bacilli culture consistent with tuberculosis. After starting anti-tubercular therapy, the patient's abdominal pain resolved and the patient was able to pass stool normally within two weeks. Colonoscopy three months after starting treatment showed complete resolution of the mass. Gastrointestinal tuberculosis should be considered in cases of children from endemic areas who present with a rectal mass. Highlights • Anorectal tuberculosis is a rare entity which can present as a chronic rectal mass. • A high index of suspicion for tuberculosis is necessary in all pediatric patients from TB endemic areas with nonspecific abdominal signs and symptoms. • When diagnosed early, with 6–12 months of therapy ano-rectal tuberculosis shows very good prognosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|