Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient

Intestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient

Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell...

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Bibliographic Details
Main Authors: N Pattanashetti, S Gupta, S Rana, D Dahiya, A Das, V Kumar, M Rathi, H S Kohli, K L Gupta, R Ramachandran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Nephrology
Subjects:
Intestinal tuberculosis
massive gastrointestinal bleed
tubercular granuloma
Online Access:http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2019;volume=29;issue=2;spage=132;epage=134;aulast=Pattanashetti
Description
Summary:Massive rectal bleeding is an uncommon presentation of ileal tuberculosis (TB). We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.
ISSN:0971-4065
1998-3662

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