Publication: Caecal Carcinoma Mimicking Intestinal Tuberculosis: A Diagnostic Dilemma
Date
2025
Article Type
Case Report
Journal Title
Journal ISSN
3059-9547
Volume Title
Pages
Pages: 105 - 107
Publisher
Public Health Concern Trust-Nepal (phect-NEPAL)
Abstract
Abstract:
Intestinal tuberculosis (ITB) frequently mimics colorectal malignancy in endemic regions, often leading to diagnostic uncertainty. Conversely, colorectal carcinoma may be misdiagnosed and treated as intestinal tuberculosis, resulting in delayed definitive management. We report a case of caecal carcinoma initially diagnosed and treated as intestinal tuberculosis based on clinical findings. Histopathological examination following surgical intervention ultimately revealed adenocarcinoma of the caecum. This case highlights the limitations of empirical antitubercular therapy and emphasizes the need for histological confirmation before initiating long-term treatment.
Description
Raj Bhai Dangol
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Udaya Koirala
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Bijendra Dhoj Joshi
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Sudip Ratna Shakya
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Ashok Khambu
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Sriya Karmacharya
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Nischit Timsina
Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal
Keywords
Antitubercular therapy, caecal carcinoma, intestinal tuberculosis
Identifier
https://doi.org/10.63455/w9crk472