[Rectocolic tuberculosis. Radiological aspects apropos of 14 cases].
During 11 years, 14 cases of tuberculosis of the colon are radiographied. The clinical findings are not specific and the association with evolutive pulmonary tuberculosis is infrequent (28%). The radiological features are described: ulcerations (4 cases), ulcerations and hypertrophic features (3 cases) and hypertrophic features (7 cases). The involving sites are caecum and ileocecum in 6 cases, ascending colon in 3 cases, transverse colon in 2 cases, descending colon in 2 cases and recto-sigmoid in 2 cases. The differential diagnosis are segmental Crohn colitis and colonic carcinoma. Endoscopic examination with biopsy is a help to the diagnosis, but in 5 cases, it will be deficient. The diagnosis of colonic tuberculosis is setting only by surgical resections in 6 cases (43%) and 4 patients have been treated by medical treatment with success. No relapse appears in operated patients.
Service de Radiologie Médico-Chirurgicale B, Hospices Civils de Strasbourg.
G
G
Schmutz
C
C
Ridereau
C
C
Jahn
C
C
Schwartz
F
F
Hannequin
F
F
Vaxman
D000328:Adult; D000368:Aged; D003108:Colonic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012002:Rectal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis / Q000000981:diagnostic imaging*
La tuberculose recto-colique. Aspects radiologiques à propos de 14 observations.