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Related Experiment Videos

Colorectal tuberculosis.

B Nagi1, R Kochhar, D K Bhasin

  • 1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India. medinst@pgi.chd.nic.in

European Radiology
|August 28, 2003
PubMed
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Colorectal tuberculosis, a common gastrointestinal issue, often presents with strictures, colitis, and polypoid lesions. Complications like perforations and fistulae occur in nearly 19% of cases.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Radiology

Background:

  • Gastrointestinal tuberculosis (GITB) is a significant global health concern.
  • Colorectal involvement is a recognized manifestation of GITB.

Purpose of the Study:

  • To determine the incidence of colorectal tuberculosis (CTB) within a large cohort of GITB cases.
  • To elucidate the diverse radiological spectrum and common complications of CTB.

Main Methods:

  • Retrospective analysis of 684 patients with proven GITB and positive barium contrast findings over a decade.
  • Exclusion of cases with direct contiguity to ileo-caecal tuberculosis.
  • Detailed evaluation of radiological features and documented complications.

Main Results:

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  • Colorectal tuberculosis was identified in 74 patients (10.8% incidence).
  • The transverse colon was the most frequently affected site, followed by the rectum and ascending colon.
  • Radiological findings included strictures (54%), colitis (39%), and polypoid lesions (7%).
  • Complications such as perforations and fistulae were observed in 18.9% of CTB cases.

Conclusions:

  • Colorectal tuberculosis is a prevalent form of gastrointestinal tuberculosis.
  • Key radiological indicators include strictures, colitis, and polypoid lesions.
  • Perforations and fistulae represent significant complications of CTB.