Colonic tuberculosis. Endoscopic diagnosis
Rábago Torre, L.; Gea Rodríguez, F.; Soler Grande, F.; Campos Cantero, R.; Fernández Gallardo, J.M.; Burgos, F.
Revista Espanola de Enfermedades Digestivas Organo Oficial de la Sociedad Espanola de Patologia Digestiva 80(1): 57-60
1991
ISSN/ISBN: 1130-0108 PMID: 1931247 Document Number: 376010
We present a patient with acute and severe abdominal pain, fever and mild tenderness elicited on deep palpation in the right lower quadrant. X-ray films of the chest and abdomen were normal. The ultrasonographic study, barium enema examination and colonoscopic study avoided a diagnostic laparotomy. A purified protein skin test (PPD) and the cultures on Lowestein medium were negative. The final diagnosis was ulcero-hypertrophic tuberculosis of the ascending colon, and was confirmed by the finding of positive acid fast facilli and granulomas with Langerhans cells in the colonic biopsy material. The colonic lesions disapplared at the end of the antituberculous treatment.