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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 6206951, 4 pages
https://doi.org/10.1155/2017/6206951
Case Report

A Severe Case of Tuberculosis Radiologically and Endoscopically Mimicking Colorectal Cancer with Peritoneal Carcinomatosis

1Department of Medicine 1, Friedrich-Alexander University Erlangen-Nuremberg, Division of Gastroenterology, Endocrinology and Pneumology, Ludwig Demling Endoscopy Center of Excellence, Ulmenweg 18, 91054 Erlangen, Germany
2Institute of Clinical Microbiology, Immunology and Hygiene, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Wasserturmstrasse 3-5, 91054 Erlangen, Germany

Correspondence should be addressed to Markus F. Neurath; ed.negnalre-ku@htaruen.sukram

Received 15 May 2017; Revised 30 July 2017; Accepted 15 August 2017; Published 3 October 2017

Academic Editor: Tetsuo Hirata

Copyright © 2017 Timo Rath et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although generally rising in incidence, intestinal tuberculosis is still rare in western countries and due to unspecific manifestations mainly as ulcerations on endoscopy, diagnosis of intestinal tuberculosis is challenging. Within this report, we describe a case of severe intestinal tuberculosis radiologically and endoscopically masquerading as colorectal cancer with peritoneal carcinomatosis. Our case exemplifies that intestinal tuberculosis needs to be considered as a differential diagnosis in patients at risk and that undelayed and sensitive diagnosis of intestinal tuberculosis is of central importance for avoiding unfavorable disease outcome.