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Massive rectorrhage due to pulmonary and intestinal tuberculosis: A case report.
IDCases
October 2024
Faculty of Health Sciences, María Cano University Foundation, Cali, Colombia.
Tuberculosis is a bacterial infection that predominantly affects the lungs, although it can also affect other organs, including the intestine. Massive rectal bleeding, characterized by severe rectal bleeding, is a rare but serious complication of intestinal tuberculosis, with an estimated incidence of 5 % of tuberculosis patients. This report describes the case of a 21-year-old woman with active tuberculosis and comorbidities such as asthma and a history of psychoactive substance use, who developed massive rectal bleeding and significant clinical deterioration, manifested by excessive bleeding and septic shock, which resulted in fatal outcome.
View Article and Find Full Text PDFDisseminated Melioidosis Complicated by Prostatic Abscess and Splenic Involvement: Diagnostic and Therapeutic Insights.
Cureus
September 2024
Internal Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
This case report details the clinical course of a 53-year-old male farmer with a 15-year history of diabetes mellitus who presented with a 20-day history of pyrexia, rigors, and shivering, as well as problems in the urogenital system and left hypochondrial pain. Notably, he had been diagnosed with spinal tuberculosis, which was successfully treated five years ago. On evaluation, there was tenderness in the suprapubic region as well as the left hypochondrium; moreover, rectal examination showed that the prostate was boggy and tender.
View Article and Find Full Text PDF[Isolated rectal tuberculoma diagnosed after endoscopic surgery: a case report].
Zhonghua Jie He He Hu Xi Za Zhi
October 2024
Center of Endoscopy, Public Health Clinical Center of Chengdu, Chengdu 610066, China.
Intestinal tuberculosis commonly affects the ileocecal area and the terminal ileum, and is extremely rare in the rectum, with isolated rectal involvement being even rarer. This paper described a case of an isolated rectal tuberculoma in a female patient of 44 years old, Yi ethnicity, who was admitted to the hospital with abdominal distension and constipation. She had a history of hepatitis B virus infection.
View Article and Find Full Text PDFGranulomas without foreign body giant cells in perianal fistula tissue suggest Crohn's disease.
J Dig Dis
August 2024
Department of Pathology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Article Synopsis
- The study investigates the histopathological features of granulomas in perianal fistulas among Crohn's disease (CD) patients, finding notable differences compared to non-CD cases.
- Granulomas were identified in 41 patients, with a significantly higher detection rate in the CD group (26.9%) compared to the non-CD group (0.3%).
- The analysis reveals that granulomas in CD patients are generally smaller and lack foreign body giant cells, while the non-CD group shows larger granulomas predominantly associated with foreign body reactions.
Rectovaginal fistula due to undiagnosed rectal tuberculosis in a nulliparous young woman: A case report.
Int J Surg Case Rep
November 2024
The Aga Khan University, Department of Obstetrics and Gynecology, P.O. Box 125, Dar Es Salaam, United Republic of Tanzania.
Introduction: Rectovaginal fistulas (RVFs) can arise from various etiologies, the most common cause especially in developing countries is obstetric injury. Uncommonly, rectal tuberculosis can present as RVF, posing a diagnostic and treatment challenge especially in a patient without established risk factors. The first case of rectal tuberculosis was reported by Davis et al.
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