A Case of Synchronous Intestinal Tuberculosis Involving the Stomach and Colon.
- Author:
Joo Hyoung KIM
1
;
Yong Cheol JEON
;
Tae Yeob KIM
;
Chang Soo EUN
;
Joo Hyun SOHN
;
Dong Soo HAN
;
Jae Jung JANG
;
Yong Wook PARK
Author Information
1. Department of Internal Medicine, Guri Hospital, Hanyang University College of Medicine, Guri, Korea. ycjeon@hanyang.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Intestinal tuberculosis;
Synchronous;
Stomach;
Colon
- MeSH:
Colonic Diseases/*diagnosis/pathology;
Colonoscopy;
Drug Therapy, Combination;
Female;
Gastroscopy;
Humans;
Middle Aged;
Stomach Diseases/*diagnosis/pathology;
Tomography, X-Ray Computed;
Tuberculosis, Gastrointestinal/*diagnosis/drug therapy/pathology
- From:The Korean Journal of Gastroenterology
2008;52(5):320-324
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis and should be differentiated from the inflammatory bowel diseases and malignancy such as Crohn's disease, ulcerative colitis, amebic colitis, and colon cancer. Most frequently involved sites (75% of cases) are the terminal ileum and cecum. Other sites of involvement, in order of frequency, are ascending colon, jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon, and rectum. Intestinal tuberculosis simultaneously involving the stomach and colon has been very rarely reported. Recently, we experienced a case of synchronous gastric and colonic ulcers with granulomatous inflammation. Although we did not find acid fast bacilli and the culture test was negative, empirical anti-tuberculosis therapy resulted in dramatic clinical and endoscopic improvement. We report a rare case of multifocal gastrointestinal tuberculosis with a review of literature.
