Diagnosis and outcome of isolated rectal tuberculosis

Abstract

Our data suggest that tubercular involvement of rectum, although uncommon, is an important cause of rectal strictures in India. Response to antitubercular chemotherapy is uniformly good, and surgery is seldom required in these patients.

Obstrucción intestinal por tuberculosis colónica: Presentación de dos casos

“…Normalmente las lesiones a nivel de colon asientan en la región ceco-ascendente e íleon terminal (1), la localización en otras regiones del colon y principalmente recto son mucho más infrecuentes (7).…”

Abdominal Tuberculosis - A Review

“…The diagnosis of abdominal tuberculosis is often delayed, increasing the morbidity associated with this treatable condition 57,[63][64][65][66][67][68][69][70] . However, its presentation can be vague, non-specific and can masquerade as other conditions 58,[71][72][73][74][75][76] . Some times present as pneumoperitonium especially in ulcerative type, anemia, chronically ill looking, malnutrition, hemoptysis in case of associated pulmonary Tuberculosis and sometimes clubbing.…”

“…The median duration of symptoms at presentation is less than 1 yr 71 . Pain is the predominant symptom in 78-90 per cent of patients and Haematochezia occurs in less than one third 69,72 . The bleeding is frequently minor and massive bleeding is less common.…”

“…Haematochezia is the most common symptom (88%) followed by constitutional symptoms (75%) and constipation (37%) 72 . Overall rectal tuberculosis is rare and may occur in the absence of other lesions in the chest and small and large bowel 73,74 .…”

“…Diffuse involvement of the entire colon is rare (4%), but endoscopically can look very similar to ulcerative colitis. Lesions mimicking carcinoma have also been described [70][71][72] . Most workers take up to 8-10 colonoscopic biopsies for histopathology and culture.…”