Three cases of isolated rectal tuberculosis.
- Author:
Dong Su LEE
1
;
Kang Wook CHUNG
;
Do Yeon HWANG
;
Hyung Hwa LEE
;
Dae Hyun KIM
;
Young Sung KIM
;
Dong Hyup KWAK
Author Information
1. Department of Internal Medicine, Kwak's Hospital, Daegu, Korea. kwak3391@hanmail.net
- Publication Type:Case Report
- Keywords:
Tuberculosis;
Gastrointestinal
- MeSH:
Abdominal Pain;
Biopsy;
Colon, Sigmoid;
Colon, Transverse;
Constipation;
Diagnosis;
Drug Therapy;
Fever;
Hemorrhage;
Humans;
Rectum;
Tuberculosis*;
Tuberculosis, Pleural;
Ulcer;
Weight Loss
- From:Korean Journal of Medicine
2003;64(1):96-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated rectal tuberculosis commonly involves sigmoid, ascending, or transverse colon. Rectal involvement in tuberculosis is uncommon and poorly characterized. Isolated rectal tuberculosis was defined as focal lesions of rectum in the abscence of demonstrable lesions in the small and large bowel. Diagnosis of rectal tuberculosis was based on characteristic endoscopic appearance of lesions, histopathologic feature of tuberculosis in biopsy material and response to antitubercular therapy. Three patients with isolated rectal tuberculosis were seen at Kwak's hospital. The lesions observed was classified according to macroscopic morphology as follows: ulcerative, hypertrophic and ulcero-hypertrophic. Clinical manifestations were non-specific and consists of rectal bleeding, fever, weight loss, constipation and abdominal pain. One of the three patients had coexisting tuberculous pleurisy. Response to antitubercular chemotherapy was good.
