Open AccessIntestinal tuberculosis: A rare case of massive gastrointestinal bleed in a post-renal transplant recipient
Author(s) -
Navin Pattanashetti,
Sunita Gupta,
Satyavati Rana,
Divya Dahiya,
Ashim Das,
Vivek Kumar,
Manish Rathi,
Harbir Singh Kohli,
Krishan Lal Gupta,
Raja Ramachandran
Publication year - 2019
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/ijn.ijn_360_17
Subject(s) - medicine , bleed , gastroenterology , tuberculosis , differential diagnosis , presentation (obstetrics) , renal transplant , ileum , surgery , transplantation , pathology
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 99 technetium 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.