Rectal Pseudotumor due to Chlamydia Trachomatis in a Male Homosexual

Rüther, U.; Rupp, Wolfgang; Müller, Holger; Jipp, Peter; Schröter, G

doi:10.1055/s-2007-1012857

Cited by 12 publications

(4 citation statements)

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“…In the UK, 99% of cases occur in MSM 6. The diagnosis of LGV is frequently associated with hepatitis C and HIV 7. Treatment with a 3-week course of doxycycline prevents the complications of LGV such as rectal strictures, fistulae, permanent genital lymphoedema (elephantiasis), bowel obstruction and bowel perforation 8 9…”

Section: Discussionmentioning

confidence: 99%

Unusual case of a rectal tumour

Alfa-Wali¹,

Muktar

Pissas

et al. 2018

BMJ Case Reports

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A 48-year-old man presented as an emergency with a 3-week history of rectal bleeding. Examination of his rectum revealed a circumferential tumour, 2 cm from the anal verge. An MRI scan reported a locally infiltrative mid-lower rectal tumour staged as T3d/T4 N2 MX. A colonoscopy revealed appearances of severe proctitis and biopsies did not show any evidence of dysplasia or malignancy. The patient was discussed at the regional colorectal cancer multidisciplinary team meeting with a management plan for neoadjuvant chemoradiotherapy following repeat biopsies, which were again negative for malignancy. He tested positive for the HIV and was referred to genitourinary medicine. A positive nucleic acid test from a rectal swab was serovar L2 consistent with a diagnosis of lymphogranuloma venereum. He was treated with doxycycline and subsequent MRI scans showed reduction in tumour size with eventual resolution. This case report highlights the importance of HIV testing in patients with newly diagnosed colorectal tumours.

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Section: Discussionmentioning

confidence: 99%

Unusual case of a rectal tumour

Alfa-Wali¹,

Muktar

Pissas

et al. 2018

BMJ Case Reports

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“…LGV infection manifests with severe proctitis and is frequently associated with HIV and hepatitis C virus (HCV) infections. Rectal LGV, mimicking a rectal neoplasm, is rarely reported in the literature (Table 1) [4–11]. The similarity to a rectal cancer led to delayed diagnosis, because LGV is unfamiliar to physicians who do not routinely include STIs in the differential diagnosis of proctitis.…”

Section: Discussionmentioning

confidence: 99%

Rectal lymphogranuloma venereum

et al. 2012

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“…30,[35][36][37] Aside from the endoscopic resemblance to IBD, LGV proctitis also can present as a mass lesion, mimicking a neoplasm. 38 Treatment Antimicrobial treatment cures LGV and prevents progression of tissue damage. First-line therapy consists of doxycycline 100 mg orally twice a day for 21 days.…”

Section: Clinical Presentationmentioning

confidence: 99%