A Case of Intestinal Tuberculosis with a Submucosal Tumor Like Lesion

Abstract

We reported a case of intestinal tuberculosis with a submucosal tumor like lesion.
A 66-year-old female, complaining of right lower abdominal pain and continuous low grade fever, visited our hospital. Barium enema examination revealed intestinal tuberculous lesion and a small elevated lesion in the cecum and she was admitted for further examination and treatment.
Colonoscopic examination revealed the ulcer and stenosis of terminal ileum, the deformity of the ileocecal valve and multiple small ulcers in the ascending colon and cecum. Additionally, a submucosal tumor liked lesion about 1cm in size was found in the cecum and endoscopical polypectomized for the histological diagnosis. At the polypectomized specimen, a Langhans giant cell and a caseous necrosis existed in the submucosal layer.
Consequently she was confirmedly diagnosed as intestinal tuberculosis by these findings.