Left colon stenosis caused by tuberculosis.
The authors present a case of intestinal tuberculosis affecting exclusively the left colon causing severe undernourishment, abdominal pain, and bowel obstruction with a sealed colonic fistula in a 10-year-old child. These clinical characteristics and difficulties led to a diagnosis of intestinal tuberculosis in childhood. Intestinal tuberculosis affecting exclusively the colon is very rare, and differential diagnosis with Crohn's disease is difficult. Surgical complications are frequent, especially intestinal obstruction, and can be treated in most cases by resection of the affected segment and primary anastomosis.
Hospital Municipal Jesus, Riode Janeiro, Brazil.
Lisieux Eyer
LE
de Jesus
Anna Machado
AM
Marques
Myrna Santos
MS
Rocha
Bruno Rafael Cornélio
BR
Brom
Renata Restay
RR
Siqueira
D015746:Abdominal Pain / Q000209:etiology; D000714:Anastomosis, Surgical; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D003108:Colonic Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D003112:Colonic Pseudo-Obstruction / Q000209:etiology; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D008297:Male; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*
D000995:Antitubercular Agents