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Year : 2019  |  Volume : 29  |  Issue : 2  |  Page : 132-134

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

1 Department of Nephrology, PGIMER, Chandigarh, India
2 Department of Internal Medicine, PGIMER, Chandigarh, India
3 Department of Gastroenterology, PGIMER, Chandigarh, India
4 Department of General Surgery, PGIMER, Chandigarh, India
5 Department of Histopathology, PGIMER, Chandigarh, India

Correspondence Address:
R Ramachandran
Department of Nephrology, PGIMER. Chandigarh - 160 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_360_17

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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.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07