A clinical study of tuberculous colitis.

Area of Science:

• Gastroenterology
• Infectious Diseases
• Radiology

Background:

• Tuberculous colitis is a rare form of intestinal tuberculosis.
• Accurate diagnosis can be challenging, often requiring a combination of imaging and invasive procedures.

Purpose of the Study:

• To classify radiological findings in tuberculous colitis.
• To evaluate the diagnostic utility of endoscopy with histological and bacteriological examination.
• To observe radiologic changes following antituberculous drug administration.

Main Methods:

• Retrospective analysis of 22 patients diagnosed with tuberculous colitis over 8 years.
• Classification of X-ray findings into three types (A, B, C).
• Endoscopic biopsy with histological examination and bacterial culture for confirmation.

Main Results:

• Radiological diagnosis was made in 22 cases; 12 were histologically/bacteriologically confirmed.
• Type A: extensive scarring in ileocecum/ascending colon.
• Type B: annular stricture with oral dilatation.
• Type C: cecal pouch formation and deformity.
• Endoscopic biopsy proved useful for diagnosis.
• Radiologic changes were observed after treatment.

Conclusions:

• Tuberculous colitis can be classified into three radiological types.
• Endoscopic biopsy with histological and bacteriological analysis is crucial for diagnosis.
• Radiological monitoring during antituberculous therapy is feasible.