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Article
November 7, 1959

ASYMPTOMATIC TUBERCULOUS ENTERITIS SIMULATING CARCINOMA OF THE CECUM

Author Affiliations

Grand Rapids, Mich.

From the Ferguson-Droste-Ferguson Clinic.

JAMA. 1959;171(10):1337-1338. doi:10.1001/jama.1959.73010280001015
Abstract

The ileocecal region is the most common site affected in patients with tuberculous enteritis. The roentgenographic studies may show resemblances to carcinoma. The disease is generally seen in patients with advanced cases of pulmonary tuberculosis, and symptoms are ordinarily present. Tuberculosis limited to the intestine is usually of the bovine type. It is rare to see a patient with active pulmonary tuberculosis and extensive tuberculosis of the ileocecal region without symptoms and suggestive physical findings. The following case report is of tuberculous enteritis in a healthy-appearing adult male with a minimal anorectal complaint.

Report of a Case  A 38-year-old man entered the hospital on April 1, 1959, with a chief complaint of an annoying discharge from "near the rectum" of three months' duration. There were no other complaints. Elaboration of the present illness and an extensive review of the systems yielded no additional symptoms. He had been working 8 to

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