TUBERCULOSIS OF COLON MIMICKING AS COLONIC MALIGNANCY: A RARE CASE WITH LITERATURE REVIEW

Dr. Gayatri Amit Deshpande*, Dr. Murtaza A. Akhtar, Dr. Divish Saxena and Dr. Anil Kad

ABSTRACT

Tuberculosis of Colon is a rare entity usually mimicking malignancy. A fifty year old female with vague abdominal pain having a vague lump in right lumbar region is presented as a case report. On the basis of clinical suspicion, the patient was investigated on the lines of colonic cancer. Colonoscopy showed ulcero-nodular lesion in ascending colon with luminal narrowing with endoscopic biopsy giving suspicion of malignancy. Abdominal contrast enhanced computer tomography showed circumferential thickening of ascending colon. Right hemi-colectomy was performed for a mass involving ascending colon with multiple meso-colic lymph nodes. Histo-pathology report was suggestive of tubercular granulomas. Post-operative recovery was uneventful. Patient is asymptomatic after four months of anti-tubercular treatment. We report a case of intestinal tuberculosis involving ascending colon mimicking colonic malignancy.

Keywords: Tuberculosis, Colonic Neoplasm, Abdominal Tuberculosis, Colonic Tuberculosis.