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Massive digestive hemorrhage due to intestinal tuberculosis after renal transplantation.

Case report.

Hemorragia digestiva maciça devido a tuberculose intestinal após transplante renal.

Relato de caso.

SERGIO EDUARDO ALONSO ARAUJO1,2, FÁBIO CRESCENTINI2, ANGELITA HABR-GAMA2, DESIDÉRIO

ROBERTO KISS2, JOAQUIM GAMA-RODRIGUES3 E LUIZ ESTEVAM IANHEZ4

Setor de Colonoscopia do Serviço de Proctologia da Santa Casa da Misericórdia de Santos e Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo.

Araujo SEA, Crescentini F, Habr-Gama A, Kiss DR, Gama-Rodrigues J, Ianhez LE.Massive digestive hemorrhage due to intestinal tuberulosis after renal transplantation.

Case report. Acta Medica Misericordiæ 2002; 5 (1): 7-11

Summary:

Intestinal tuberculosis has become uncommon after dairy products pasteurization. However, it is common in endemic regions as well as in immunocompromised patients. Most commonly, intestinal tuberculosis presents in an uncomplicated form and medical management is indicated.

Intestinal bleeding represents a rare complication of intestinal tuberculosis, usually of low- or mild-rate and typically self-limited. In this report, we describe a case of intestinal tuberculosis complicated by massive hemorrhage with surgical management in a patient submitted to renal transplantation.

Key Words: Tuberculosis, gastrointestinal. Kidney transplantation. Gastrointestinal hemorrhage. Surgery, digestive