Probable Tuberculosis of the Right Side of the Colon, Report of a Case S. Nakano 1 , M. Yamazaki 1 , H. Yokota 1 , S. Tanoue 1 , T. Shimoda 2 1Nakano G-I Hospital 2Department of Pathology, The jikei University School of Medicine pp.987-992
Published Date 1983/9/25
DOI https://doi.org/10.11477/mf.1403109351
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 A 72 year-old woman was admitted to our hospital, complaining of abdominal fullness and weightloss for two years. At the age of 42 she was treated for pulmonary tuberculosis. Laboratory studies revealed positive PPDS and slight anemia. Barium enema study showed shortening and deformity of the right colon and terminal ileum. Disappearance of fine network pattern with slight mucosal convergencies and multiple polyps were seen at the lesion. The other parts of the colon and small intestine were not involved. Laparotomy was done and right hemicolectomy was performed. Macroscopic study of the resected specimen revealed several mucosal convergencies and multiple polyps which lay irregularly scattered al the lesion. These findings were very suggestive of healed tuberculous colitis. Histological findings revealed only multiple ulcer scars with submucosal fibrosis and inflammatory polyps. Acid fast bacilli and tuberculous granuloma could nod be found. Putting together all of the clinical history, laboratory examination, x-ray examination and pathological findings, this case is suspected as a healed tuberculous colitis.

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