Intestinal tuberculosis of the ascending colon.

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The advent of anti-tuberculosis agents considerably decreased not only the number of patients with pulmonary tuberculosis but also the number with intestinal tuberculosis. We experienced the case of a patient who, by pre-operative examination, was highly suspected of having intestinal tuberculosis. The case was later diagnosed as tuberculosis of the intestinum crassum by pathological examination of the extracted sample. This case and discussion based on various references are presented in this paper. <BR>A 40-year-old female patient was hospitalized with a main complaint of gastralgia, abdominal oppression and hemafecia. We conducted such examination as X-ray inspection and endoscopy of the intestinum crassum, and angiography and abdominal CT scanning. The results showed that she seemed to have tuberculosis of the intestinum crassum but they were not definite enough to prove it. She had a stenosis which caused a disorder in the flow of ingested food and hemorrage and we decided to resect the colon dextra. Our pathological examination of the resected sample confirmed the diagnosis of tuberculosis of thmintestium crassum. After the operation, her prognosis was satisfactory and we began to administer antituberculosis agents on the 13th day of hospitplization. This case is now being followed in our out-patient clinic.
日本大腸肛門病学会の論文