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Heng JS, Baird A, Novelli MR, et al. Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception. Case Rep Surg. 2015;2015:578263doi: 10.1155/2015/578263.
Heng, J. S., Baird, A., Novelli, M. R., Davidson, R. N., & Bhutiani, R. P. (2015). Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception. Case reports in surgery, 2015578263. https://doi.org/10.1155/2015/578263
Heng, Jacob S, et al. "Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception." Case reports in surgery vol. 2015 (2015): 578263. doi: https://doi.org/10.1155/2015/578263
Heng JS, Baird A, Novelli MR, Davidson RN, Bhutiani RP. Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception. Case Rep Surg. 2015;2015:578263. doi: 10.1155/2015/578263. Epub 2015 May 31. PMID: 26114005; PMCID: PMC4465708.
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Case Rep Surg. 2015;2015:578263. doi: 10.1155/2015/578263. Epub 2015 May 31.

Filiform Polyposis Secondary to Colonic Tuberculosis Presenting as Acute Colo-Colonic Intussusception.

Case reports in surgery

Jacob S Heng, Alan Baird, Marco R Novelli, Robert N Davidson, Rajinder P Bhutiani

Affiliations

  1. Department of General Surgery, Northwick Park Hospital, Harrow, London HA1 3UJ, UK ; Imperial College London Faculty of Medicine, London SW7 2AZ, UK.
  2. Department of Pathology, St. Mark's Hospital, Harrow, London HA1 3UJ, UK.
  3. Department of Pathology, University College Hospital, London NW1 2BU, UK.
  4. Imperial College London Faculty of Medicine, London SW7 2AZ, UK ; Department of Infectious Diseases, Northwick Park Hospital, Harrow, London HA1 3UJ, UK.

PMID: 26114005 PMCID: PMC4465708 DOI: 10.1155/2015/578263

Abstract

Filiform polyposis represents a rare but recognised manifestation on the varied spectrum of histopathology in colonic tuberculosis. We report a case of filiform polyposis secondary to colonic tuberculosis presenting as colo-colonic intussusception diagnosed on an abdominal computed tomography (CT) scan. The patient required urgent hemicolectomy and defunctioning ileostomy. Examination of the resected bowel lesions revealed filiform polyposis. Induced sputum samples from the patient grew Mycobacterium tuberculosis. The patient recovered well from the surgery and received treatment for tuberculosis. At last follow-up, he was awaiting the reversal of his ileostomy. The protean nature of histological findings in colonic tuberculosis and other current diagnostic challenges are discussed. The importance of maintaining a high index of suspicion for colonic tuberculosis and instituting early treatment is highlighted in this case.

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