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  • Title: [Colonic tuberculosis: an exceptional cause of a massive surgical hemorrhage apropos of a case and review of the literature].
    Author: Kacem C, Kamoun A, Bahout M, Zermani R, Najjar T, Zaouche A.
    Journal: Tunis Med; 1999 Oct; 77(10):530-3. PubMed ID: 10670287.
    Abstract:
    Colonic tuberculosis rarely causes massive bleeding, as a matter of fact less than twenty cases have been reported in medical literature. Resorting to surgery in this context is even more exceptional. We have not found any case operated on in the literature we have consulted. Endoscopy together with histological study of biopsies is the best exam for the diagnosis of this disease. We report the case of a 37 year old male, coronarian, carrying a caecal lesion evocative of tuberculosis at the endoscopic exam, who had an emergency right hemicolectomy for massive bleeding caused by caecal tuberculosis. The surgical indication was dictated by the abundance and the persistence of the bleeding. The post-operative course was uneventful.
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