Endoscopy 2003; 35(3): 256
DOI: 10.1055/s-2003-37267
Images in Focus

© Georg Thieme Verlag Stuttgart · New York

Endoscopic Appearance of Colonic Tuberculosis

J.  A.  Barriga 1 , L.  C.  Fry 1 , K. E.  Mönkemüller 1
  • 1VA Medical Center, Division of Gastroenterology, University of Alabama, Birmingham, Alabama, USA
Further Information

K. E. Mönkemüller, M.D.

VA Medical Center, Division of Gastroenterology, University of Alabama

633 ZRB, UAB Station, Birmingham, AL 35294, USA

Fax: + 1-205-934-8493

Email: klausl@uab.edu

Publication History

Publication Date:
13 February 2003 (online)

Table of Contents
    Zoom Image

    Figure 1 A 20-year-old man with a complaint of hematochezia underwent colonoscopic examination, which revealed a single ulcer at 35 cm from the anal verge. The ulcer measured approximately 2.5 cm in diameter, the border was irregular, raised and erythematous. The base of the ulcer was covered by a yellowish fibrinoid exudate.

    Zoom Image

    Figure 2 Histopathological examination showed inflammatory granulation tissue. Kinyoun stain revealed multiple acid-fast bacilli (arrows). Culture of tissue in Löwenstein-Jensen media yielded Mycobacterium tuberculosis. Intestinal tuberculosis should form part of differential diagnosis of patients presenting with lower gastrointestinal bleeding.

    K. E. Mönkemüller, M.D.

    VA Medical Center, Division of Gastroenterology, University of Alabama

    633 ZRB, UAB Station, Birmingham, AL 35294, USA

    Fax: + 1-205-934-8493

    Email: klausl@uab.edu

    K. E. Mönkemüller, M.D.

    VA Medical Center, Division of Gastroenterology, University of Alabama

    633 ZRB, UAB Station, Birmingham, AL 35294, USA

    Fax: + 1-205-934-8493

    Email: klausl@uab.edu

    Zoom Image

    Figure 1 A 20-year-old man with a complaint of hematochezia underwent colonoscopic examination, which revealed a single ulcer at 35 cm from the anal verge. The ulcer measured approximately 2.5 cm in diameter, the border was irregular, raised and erythematous. The base of the ulcer was covered by a yellowish fibrinoid exudate.

    Zoom Image

    Figure 2 Histopathological examination showed inflammatory granulation tissue. Kinyoun stain revealed multiple acid-fast bacilli (arrows). Culture of tissue in Löwenstein-Jensen media yielded Mycobacterium tuberculosis. Intestinal tuberculosis should form part of differential diagnosis of patients presenting with lower gastrointestinal bleeding.