Endoscopic diagnosis of colonic tuberculosis

Ileoscopy in patients with ileocolonic tuberculosis

“…Even now, colonic tuberculosis is common in the developing countries [1][2][3][4][5][6][7][8] . More importantly, in the recent past it has been observed that the disease has been staging resurgence even in the developed world, with more and more cases being reported especially in Hispanics, African Americans, immigrants and refugees and in patients having acquired immunodeficiency virus infections [9][10][11][12][13][14][15][16] .…”

“…In clinical practice the diagnosis of colonic tuberculosis is made mostly by the colonoscopic appearance of the lesions and the histological findings [1][2][3][4][5][6][7] . The colonoscopic appearance of the lesions includes transverse or linear ulcers, nodules, deformed ileocecal valve and cecal mucosa, strictures and polypoid lesions mimicking malignancy [1][2][3][4][5][6][7] .…”

“…The colonoscopic appearance of the lesions includes transverse or linear ulcers, nodules, deformed ileocecal valve and cecal mucosa, strictures and polypoid lesions mimicking malignancy [1][2][3][4][5][6][7] . More recently, haphazardly arranged fibrous bands forming irregular pockets have also been described [3,4] .…”

Obstrucción intestinal por tuberculosis colónica: Presentación de dos casos

“…La aparición de una imágen sospechosa en los estudios contrastados, puede ser confundida con tumor o enfermedad de Crohn como lo refieren diversos autores (1,2,5), la colonoscopia con toma biopsia puede ser definitoria en el diagnóstico (3,4). En estos pacientes no fue efectuada la colonoscopia.…”

“…La terapéutica estará dictada por la existencia o no de diagnóstico previo, en estos casos, el tratamiento médico poliquimioterápico es mandatorio (1,(3)(4)(5)7), quedando el tratamiento quirúrgico para las ocasiones donde el diagnóstico no pudo ser establecido y se presenta, como en nuestros casos, con un abdomen agudo, siendo la anatomía patológica la que certifica el diagnóstico. El tratamiento poliquimioterápico debe ser instaurado a continuación (1,3).…”