Unusual intestinal manifestations of tuberculosis
Conzelmann, M.; Zenklusen, H.R.; Fried, R.; Frei, R.; John, H.; Huber, F.
Schweizerische Medizinische Wochenschrift 123(6): 234-239
1993
ISSN/ISBN: 0036-7672 PMID: 8434253 Document Number: 415547
In an 87-year-old Swiss female referred with complaints of bloody diarrhea and weight loss, colonoscopy revealed three ulcers in the rectum and colon. Cultures from the colonic ulcers were positive for Mycobacterium tuberculosis. There was no evidence of pulmonary infection. One week after adequate therapy was begun, a perforation occurred at the rectosigmoid junction. The sigmoid was resected and left-sided colostomy was performed. Seven days after surgery the patient died. Clinical features, diagnosis and morphological changes of intestinal tuberculosis are discussed.