Ano-rectal tuberculous granulomapresenting with faecal incontinence

Tuberculosis is a common conditionworld-wide butmore so in developing countrieswhere it accounts for95% of all cases. It primarily affects the respiratory system, but other systems including the gastro-intestinal tractcan also be affected. When it does, it has predilection for the ileo-caecal region, where half of the cases occur. Ano-rectal tuberculosis is not very common andwhen it occurs, it could present as amass,making it difficult todifferentiate from malignancy and other granulomatous lesions. We therefore, present a case of a 68-year old man with a huge mass in the ano-rectum with faecal incontinence, which was clinically diagnosed as anadvanced carcinoma of the ano-rectum for which the biopsy was reported as tuberculosis. He improved with anti-tuberculosis treatment.Keywords: Ano-rectum, tuberculosis, cancer