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An unusual cause for a colonic stricture: a case of Mycobacterium xenopi mimicking malignancy

¹ Department of Surgery, Frenchay Hospital, Bristol
² Departments of Radiology
³ Departments of Pathology
⁴ Department of Medicine

Correspondence to:
Correspondence to:
Mr Jonathan R Rees
Department of Surgery, North Bristol NHS Trust, Frenchay Hospital, Bristol BS16 1LE, UK; jrerees{at}ntlworld.com

ABSTRACT
Colonic strictures are very common and are a frequent finding on double contrast barium examination; they very often reflect the presence of malignancy, diverticular disease, ischaemia, inflammatory bowel disease, and rarely mycobacterial disease. A case of mycobacterial disease mimicking malignancy is presented; this was due to a rare mycobacterial subtype and there was complete resolution of symptoms with antimycobacterial therapy.

Keywords: tuberculosis; colonic strictures; mycobacterial infection