Cecal Tuberculosis Mimicking Submucosal Tumor

Hideto Kawaratani, Kei Moriya, Kouji Ishida, Ryuichi Noguchi, Tadashi Namisaki, Hiroaki Takaya, Akitoshi Douhara, Hitoshi Yoshiji, Junichi Yamao, Hisao Fujii, Hiroshi Fukui
2016 Internal medicine (Tokyo. 1992)  
A 41-year-old man presented with abdominal fullness in late August 2012. Abdominal CT showed ileus caused by stenosis of the ileum and an enlargement of the ileocecal lymph nodes. Colonoscopy showed a steep elevated protruding tumor in the cecum, with multiple ulcerative lesions on top. A pathological analysis of the lesions confirmed chronic inflammatory infiltration and epithelioid granuloma. The findings of a tuberculin skin test and QuantiFERON-TB-Gold test were positive. As a result, we
more » ... As a result, we treated the patient for tuberculosis of the cecum. After 4 months of treatment, colonoscopy confirmed the disappearance of the tumor. In conclusion, intestinal tuberculosis should be considered in the differential diagnosis when protruding lesions appear in the cecum.
doi:10.2169/internalmedicine.55.5139 pmid:27432093 fatcat:xrvqz3lzxneptaw6gbcdjc7lby