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Case Reports in Surgery
Volume 2015, Article ID 578263, 4 pages
Case Report

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

1Department of General Surgery, Northwick Park Hospital, Harrow, London HA1 3UJ, UK
2Imperial College London Faculty of Medicine, London SW7 2AZ, UK
3Department of Pathology, St. Mark’s Hospital, Harrow, London HA1 3UJ, UK
4Department of Pathology, University College Hospital, London NW1 2BU, UK
5Department of Infectious Diseases, Northwick Park Hospital, Harrow, London HA1 3UJ, UK

Received 27 March 2015; Accepted 12 May 2015

Academic Editor: Paola De Nardi

Copyright © 2015 Jacob S. Heng 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.


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.