CASE 195: ULCERATIVE COLITIS MIMICKING COLON TUMOR, Dr PHẠM THỊ THANH XUÂN-Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Male patient 26 yo suffered from colicky pain at RUQ for 2 years,  and  had a feeling of a moving mass but with only loose stool. His status is getting down.

Ultrasound detected thickening of right colon of 8 mm, and intussusception of right colon at some times. There was a walled off at right flank, so cannot ruling out a infected tuberculosis.

Colonoscopy was done but two times met intussusception, and another time in thought to be of ulcerative colitis.

Blood tests were in normal values, no clue of tuberculosis.

But MDCT detected a colon tumor with colon thickening wall of 20mm, caught CE more and loss of fatty tissue surrounding

Hemicolectomy was done by endoscopic colonoscopy, and final diagnosis is ulcerative colitis which induced intussusception of right colon.