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[Colonic tuberculosis. Endoscopic diagnosis].

L Rábago Torre1, F Gea Rodríguez, F Soler Grande

  • 1Sección de Aparato Digestivo, Hospital Severo Ochoa, Leganés.

Revista Espanola De Enfermedades Digestivas
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

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This case study highlights ulcero-hypertrophic tuberculosis of the colon, a rare cause of abdominal pain. Prompt diagnosis and treatment led to complete resolution of colonic lesions.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pathology

Background:

  • Colonic tuberculosis is an uncommon manifestation of Mycobacterium tuberculosis infection.
  • It can mimic other conditions like Crohn's disease or malignancy, posing diagnostic challenges.

Observation:

  • A patient presented with acute, severe abdominal pain, fever, and right lower quadrant tenderness.
  • Initial investigations including X-rays, ultrasound, barium enema, and colonoscopy were inconclusive.
  • Purified protein derivative (PPD) skin test and Lowenstein medium cultures were negative.

Findings:

  • The final diagnosis was ulcero-hypertrophic tuberculosis of the ascending colon.
  • Confirmation was achieved through colonic biopsy revealing acid-fast bacilli and granulomas with Langerhans cells.

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  • Lesions resolved completely following antitubercular therapy.

    • Implications:

    • This case underscores the importance of considering colonic tuberculosis in the differential diagnosis of unexplained abdominal pain, especially in endemic areas.
    • Non-invasive imaging and endoscopic procedures can aid diagnosis, but biopsy remains crucial for definitive confirmation.
    • Antitubercular treatment is effective in resolving colonic tuberculous lesions.