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Title: Segmental tuberculosis of the colon diagnosed by colonoscopy.
Title Abreviation: Am J Gastroenterol Date of Pub: 1981 Oct
Author: Breiter JR; Hajjar JJ;
Issue/Part/Supplement: 4 Volume Issue: 76 Pagination: 369-73
MESH Headings: Biopsy; Case Report; Colon (RA); Colonic Diseases (*DI/DT/PA); Colonoscopy (*); Diagnosis, Differential; Human; Male; Middle Age; Tuberculosis, Gastrointestinal (*DI/DT/PA); -AA-;
Journal Title Code: 3HE Publication Type: JOURNAL ARTICLE
Date of Entry: 820322NEntry Month: 8205
Country: UNITED STATES Index Priority: 1
Language: Eng Unique Identifier: 82110876
Unique Identifier: 82110876 ISSN: 0002-9270
Abstract: Segmental tuberculosis of the colon is a rare clinical entity. In the absence of pulmonary or ileocecal involvement, colonic tuberculosis may be difficult to differentiate from neoplasm or Crohn's disease by symptomatic and radiological means. Colonoscopy and biopsy can, however, establish the diagnosis and prevent operative intervention, as indicated in the present report. A patient with a radiologically demonstrated strictured lesion of the sigmoid colon was found at colonoscopy to have several hemorrhagic transverse ulcers ranging in diameter between 1-4.5 cm. Multiple target colonoscopic biopsies, specifically from the ulcer beds, revealed necrotizing granulomas and acid-fast bacilli. Antituberculous chemotherapy produced remarkable symptomatic, radiographic and endoscopic improvements and averted exploratory laparotomy for the establishment of the diagnosis. This case report points out the importance of colonoscopic biopsy as a useful diagnostic modality in this disease.
Abstract By: Author