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Nigerian Journal of Clinical Practice

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Ano-rectal tuberculous granulomapresenting with faecal incontinence

P.O Okokhere, P.F Alufoha, C.E Iyamu, J Kpolugbo, H.O Omeife, A.D Dongo

Abstract


Tuberculosis is a common conditionworld-wide butmore so in developing countrieswhere it accounts for95% of all cases. It primarily affects the respiratory system, but other systems including the gastro-intestinal tract
can also be affected. When it does, it has predilection for the ileo-caecal region, where half of the cases occur. Ano-rectal tuberculosis is not very common andwhen it occurs, it could present as amass,making it difficult to
differentiate from malignancy and other granulomatous lesions. We therefore, present a case of a 68-year old man with a huge mass in the ano-rectum with faecal incontinence, which was clinically diagnosed as an
advanced carcinoma of the ano-rectum for which the biopsy was reported as tuberculosis. He improved with anti-tuberculosis treatment.

Keywords: Ano-rectum, tuberculosis, cancer.




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