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- Title
Intestinal Tuberculosis: A Rare Case of Massive Gastrointestinal Bleed in a Post-Renal Transplant Recipient.
- Authors
Pattanashetti, N.; Gupta, S.; Rana, S.; Dahiya, D.; Das, A.; Kumar, V.; Rathi, M.; Kohli, H. S.; Gupta, K. L.; Ramachandran, R.
- Abstract
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.
- Subjects
ANEMIA; ENDOSCOPY; GASTROINTESTINAL hemorrhage; ILEUM; KIDNEY transplantation; RECTUM; TECHNETIUM
- Publication
Indian Journal of Nephrology, 2019, Vol 29, Issue 2, p132
- ISSN
0971-4065
- Publication type
Article
- DOI
10.4103/ijn.IJN_360_17