Colonic tuberculosis: a case report

Aim: 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...

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Main Authors: Ghada Gharbi, Moufida Mahmoudi, Manel Yakoubi, Asma Ben Mohamed, Amal Khsiba, Mohamed Karim M'Farrej, Mahdi Bouassida, Emna Chelbi, Lamine Hamzaoui
Format: Article
Language:English
Published: Future Science Ltd 2022-12-01
Series:Future Science OA
Subjects:
Online Access:https://www.future-science.com/doi/10.2144/fsoa-2022-0056
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author Ghada Gharbi
Moufida Mahmoudi
Manel Yakoubi
Asma Ben Mohamed
Amal Khsiba
Mohamed Karim M'Farrej
Mahdi Bouassida
Emna Chelbi
Lamine Hamzaoui
author_facet Ghada Gharbi
Moufida Mahmoudi
Manel Yakoubi
Asma Ben Mohamed
Amal Khsiba
Mohamed Karim M'Farrej
Mahdi Bouassida
Emna Chelbi
Lamine Hamzaoui
author_sort Ghada Gharbi
collection DOAJ
description Aim: 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. Case report: 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. Conclusion: In front of a nonspecific clinical and endoscopic aspects, multiples colonic biopsies are mandatory to rule out differential diagnosis and confirm colonic tuberculosis.
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spelling doaj.art-3eecd8d2eb114ea0923dc9bb9d41af8e2023-03-01T10:41:40ZengFuture Science LtdFuture Science OA2056-56232022-12-0181010.2144/fsoa-2022-0056Colonic tuberculosis: a case reportGhada Gharbi0Moufida Mahmoudi1Manel Yakoubi2Asma Ben Mohamed3Amal Khsiba4Mohamed Karim M'Farrej5Mahdi Bouassida6Emna Chelbi7Lamine Hamzaoui81Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia1Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia1Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia1Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia1Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia2Department of Pathology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia3Department of Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia2Department of Pathology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia1Department of Gastroenterology, Mohamed Taher Maamouri Hospital, Nabeul, TunisiaAim: 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. Case report: 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. Conclusion: In front of a nonspecific clinical and endoscopic aspects, multiples colonic biopsies are mandatory to rule out differential diagnosis and confirm colonic tuberculosis.https://www.future-science.com/doi/10.2144/fsoa-2022-0056colonic tuberculosisdiagnosisendoscopyintestinal tuberculosis
spellingShingle Ghada Gharbi
Moufida Mahmoudi
Manel Yakoubi
Asma Ben Mohamed
Amal Khsiba
Mohamed Karim M'Farrej
Mahdi Bouassida
Emna Chelbi
Lamine Hamzaoui
Colonic tuberculosis: a case report
Future Science OA
colonic tuberculosis
diagnosis
endoscopy
intestinal tuberculosis
title Colonic tuberculosis: a case report
title_full Colonic tuberculosis: a case report
title_fullStr Colonic tuberculosis: a case report
title_full_unstemmed Colonic tuberculosis: a case report
title_short Colonic tuberculosis: a case report
title_sort colonic tuberculosis a case report
topic colonic tuberculosis
diagnosis
endoscopy
intestinal tuberculosis
url https://www.future-science.com/doi/10.2144/fsoa-2022-0056
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AT amalkhsiba colonictuberculosisacasereport
AT mohamedkarimmfarrej colonictuberculosisacasereport
AT mahdibouassida colonictuberculosisacasereport
AT emnachelbi colonictuberculosisacasereport
AT laminehamzaoui colonictuberculosisacasereport