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DOI: 10.1055/s-2003-37267
© Georg Thieme Verlag Stuttgart · New York
Endoscopic Appearance of Colonic Tuberculosis
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)

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.

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

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.

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.