Gharbi Ghada, Mahmoudi Moufida, Yakoubi Manel, Mohamed Asma Ben, Khsiba Amal, M'Farrej Mohamed Karim, Bouassida Mahdi, Chelbi Emna, Hamzaoui Lamine
Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Department of Pathology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Future Sci OA. 2023 Feb 27;8(10):FSO830. doi: 10.2144/fsoa-2022-0056. eCollection 2022 Dec.
Colonic tuberculosis is rare. It accounts for 2-3% of abdominal tuberculosis. Clinical, radiological and endoscopic features are nonspecific. The diagnosis must be considered in front of chronic abdominal pain, vesperal fever and weight loss with on colonoscopy the presence of nodules or ulcers. The diagnosis is made on pathological findings.
We report a case of an 82-year-old female patient with the diagnosis of colonic tuberculosis. The diagnosis were suspected on clinical presentation: chronic abdominal pain, fever and weight loss. The colonoscopy showed a nodular aspect of the left and sigmoid colonic mucosa and the pathology examination of the multiple biopsy specimens showed an epithelioid and gigantocellular granulomas with caseous necrosis.
In front of a nonspecific clinical and endoscopic aspects, multiples colonic biopsies are mandatory to rule out differential diagnosis and confirm colonic tuberculosis.
结肠结核较为罕见，占腹部结核的2% - 3%。其临床、放射学及内镜特征均不具有特异性。对于慢性腹痛、傍晚发热及体重减轻且结肠镜检查发现有结节或溃疡的情况，必须考虑结肠结核的诊断。诊断需依据病理检查结果。
我们报告一例82岁女性结肠结核患者。根据临床表现怀疑诊断：慢性腹痛、发热及体重减轻。结肠镜检查显示左半结肠及乙状结肠黏膜呈结节状，对多个活检标本进行病理检查显示为上皮样和巨细胞肉芽肿伴干酪样坏死。
面对非特异性的临床和内镜表现，必须进行多次结肠活检以排除鉴别诊断并确诊结肠结核。
