Granulomatous Proctitis Mimicking Rectal Carcinoma: A Case of Isolated Rectal Tuberculosis in a Young Female

Abstract

Rectal tuberculosis (TB) is a rare manifestation of extrapulmonary tuberculosis (TB), and it can clinically and endoscopically mimic malignancy. We are here reporting the case of a 22-year-old female who presented with rectal bleeding, altered bowel habits, and systemic symptoms. Initial colonoscopic findings suggested rectal carcinoma, but histopathology confirmed the diagnosis of tuberculosis. The patient was treated successfully with anti-tubercular therapy (ATT), leading to complete symptomatic and endoscopic resolution. A high index of suspicion in endemic regions and carly recognition of such atypical manifestations is crucial to prevent unnecessary interventions and to initiate appropriate therapy