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A Case of Right-Sided Colitis Suggesting Intestinal Tuberculosis M. Tada 1 , K. Kawai 1 , A. Kobayashi 2 1Dept. of Preventive Medicine, Kyoto Prefectural University of Medicine 2The 3 rd Deft. of Int. Med., Kyoto Prefectural University of Medicine pp.1231-1236
Published Date 1978/9/25
DOI https://doi.org/10.11477/mf.1403107509
  • Abstract
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 Since the advent of antituberculosis drugs, intestinal tuberculosis is decreasing in its frequency. However, it is not so rare and is more frequent than Crohn's disease among the Japanese. Diagnosis of intestinal tuberculosis is not so difficult if tubercle bacillus or granuloma with caseation necrosis is found out in the biopsy specimen, resected tissue or fecal materials. However, intestinal tuberculosis is generally curative with or without antituberculosis drugs, and shows only non-specific inflammatory changes histologically. It is not so easy to differentiate healed tuberculosis from other inflammatory bowel diseases.

 A 59 years old woman was admitted to our hospital, complaining of abdominal discomfort in the right lower quadrant for several years. Barium enema study revealed shortening and deformity of the right colon and terminal ileum. Irregular network pattern with several mucosal convergencies was seen at the lesion, but the rectum, sigmoid and descending colon were not involved. These findings were very suggestive of healed intestinal tuberculosis. Histological findings of the mesocolic lymph node revealed giant cells with hyalinsation, but no typical granuloma with caseation necrosis was seen. Although histological finding was not typical of intestinal tuberculosis, its radiological findings and clinical course suggested the healed stage of intestinal tuberculosis.

 For the X-ray diagnosis of the healed stage of intestinal tuberculosis, it is necessary to collect more examples of completely healed or non-typical cases of this disease. Our case would be valuable as additional radiologic findings of healed intestinal tuberculosis.


Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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