Massive rectal bleeding due to ileal tuberculosis |
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| Authors: | Tomohiro Watanabe Masatoshi Kudo Makoto Kayaba Hirofumi Shirane Shusuke Tomita Akio Orino Akio Todo Tsutomu Chiba |
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| Affiliation: | (1) Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan, JP;(2) Second Department of Internal Medicine, Kinki University School of Medicine, Osakasayama, Japan, JP;(3) Second Department of Surgery, Kobe City General Hospital, Kobe, Japan, JP;(4) Department of Pathology, Kobe City General Hospital, Kobe, Japan, JP;(5) Department of Gastroenterology, Kobe City General Hospital, Kobe, Japan, JP |
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| Abstract: | ![]()
A patient with massive rectal bleeding due to ileal tuberculosis is reported. Technetium-99m labelled red blood cell scintigraphy indicated hemorrhage from the ileum, and laparotomy was then carried out. A 70-cm segment of ileum containing ulcers and erosions was resected, and epitheloid granuloma with Langhans-type giant cell was found in the resected specimen. Massive rectal bleeding is considered a rare presenting symptom of intestinal tuberculosis. Intestinal tuberculosis, including small intestinal tuberculosis, although uncommon, should be taken into consideration as a cause of rectal bleeding. Received: September 16, 1998 / Accepted: February 26, 1999 |
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| Keywords: | : massive rectal bleeding intestinal tuberculosis ileum scintigraphy |
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