| Theme | Ulcerative lesions in the ileocecal region | |
|---|---|---|
| Title | Morphologic characteristics of intestinal tuberculosis | |
| Publish Date | 2013/08 | |
| Author | Shuji Kochi | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Koichi Kurahara | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Hiroki Yaita | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Keisuke Kawasaki | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Toshifumi Morishita | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Tomohiro Nagasue | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Hirofumi Abe | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Miyuki Sawano | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| Author | Tadahiko Fuchigami | Division of Gastroenterology, Matsuyama Red Cross Hospital |
| [ Summary ] | In asymptomatic patients, colonoscopy and radiography play crucial roles in the correct diagnosis of intestinal tuberculosis. It is necessary to recognize morphologic characteristics using endoscopy or radiography for diagnosis of intestinal tuberculosis. These morphologic characteristics are classified as follows : 1) circular or girdle ulcers along the short axis, 2) scared area with discoloration, and 3) intestinal deformities including bilateral deformity, shortened long axis, patulous ileocecal valve, and formation of pseudo-diverticulum. Other diseases which require differential diagnosis to distinguish them from intestinal tuberculosis include Crohn's disease, amebic colitis, and nonsteroidal anti-inflammatory drugs-induced colopathy. This is true especially in patients without scared area with discoloration or characteristic deformities. | |