Rectocolic tuberculosis. Radiological aspects apropos of 14 cases
Schmutz, G.; Ridereau, C.; Jahn, C.; Schwartz, C.; Hannequin, F.; Vaxman, F.
Journal de Radiologie 68(10): 597-607
1987
ISSN/ISBN: 0221-0363 PMID: 3430443 Document Number: 4545
During 11 years, 14 cases of tuberculosis of the colon are radiographied. The clinical findings are not specific and the association with evolutive pulmonary tuberculosis is infrequent (28%). The radiological features are described: ulcerations (4 cases), ulcerations and hypertrophic features (3 cases) and hypertrophic features (7 cases). The involving sites are caecum and ileocecum in 6 cases, ascending colon in 3 cases, transverse colon in 2 cases, descending colon in 2 cases and recto-sigmoid in 2 cases. The differential diagnosis are segmental Crohn colitis and colonic carcinoma. Endoscopic examination with biopsy is a help to the diagnosis, but in 5 cases, it will be deficient. The diagnosis of colonic tuberculosis is setting only by surgical resections in 6 cases (43%) and 4 patients have been treated by medical treatment with success. No relapse appears in operated patients.
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