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. 1972 Aug;13(8):646–653. doi: 10.1136/gut.13.8.646

Tuberculous ileo-colitis in Ibadan: a clinico-radiological review

E A Lewis, T M Kolawole
PMCID: PMC1412253  PMID: 5077176

Abstract

Twenty cases of tuberculous ileo-colitis with radiographic changes seen in the University College Hospital, Ibadan, Nigeria, are reviewed and the clinical features and radiographic patterns examined. The intestinal lesions in all cases were secondary to healed and active pulmonary tuberculosis.

Although the ileo-caecal region is the commonest site of involvement, lesions also occurred in the distal part of the colon and the entire colon was sometimes involved. Rare occurrences, such as the diverticular type, enterolithiasis, tuberculosis presenting as intussusception and as an appendicular mass, are also reported. Four principal radiological types of colonic change emerged from the study, namely, the hyperplastic, the ulcerative, the mixed ulcero-hyperplastic, and the carcinoma-like types.

The salient features in the differential diagnosis of ileo-colonic lesions in a tropical setting are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABRAMS J. S., HOLDEN W. D. TUBERCULOSIS OF THE GASTROINTESTINAL TRACT. Arch Surg. 1964 Aug;89:282–293. doi: 10.1001/archsurg.1964.01320020046008. [DOI] [PubMed] [Google Scholar]
  2. ANAND S. S. Hypertrophic ileo-caecal tuberculosis in India with a record of fifty hemicolectomies. Ann R Coll Surg Engl. 1956 Oct;19(4):205–222. [PMC free article] [PubMed] [Google Scholar]
  3. ANGELCHIK J., THABIT G., Jr, HALL J. H. Segmental tuberculosis of the colon. Postgrad Med. 1962 Nov;32:462–466. doi: 10.1080/00325481.1962.11694712. [DOI] [PubMed] [Google Scholar]
  4. ARONSON A. R., SLATTERY L. R. Tuberculosis of the transverse colon; report of case simulating carcinoma. Gastroenterology. 1959 May;36(5):698–701. [PubMed] [Google Scholar]
  5. ASHKEN M. H., BARON J. H. Ulcerative tuberculous ileocolitis with normal chest radiograph. Br J Surg. 1962 Jan;49:454–455. doi: 10.1002/bjs.18004921628. [DOI] [PubMed] [Google Scholar]
  6. Anscombe A. R., Keddie N. C., Schofield P. F. Caecal tuberculosis. Gut. 1967 Aug;8(4):337–343. doi: 10.1136/gut.8.4.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Bentley G., Webster J. H. Gastro-intestinal tuberculosis. A 10-year review. Br J Surg. 1967 Feb;54(2):90–96. doi: 10.1002/bjs.1800540203. [DOI] [PubMed] [Google Scholar]
  8. Brenner S. M., Annes G., Parker J. G. Tuberculous colitis simulating nonspecific granulomatous disease of the colon. Am J Dig Dis. 1970 Jan;15(1):85–92. doi: 10.1007/BF02239351. [DOI] [PubMed] [Google Scholar]
  9. Chawla S., Bery K., Indra K. J. Enterolithiasis complicating intestinal tuberculosis. Clin Radiol. 1966 Jul;17(3):274–279. doi: 10.1016/s0009-9260(66)80035-1. [DOI] [PubMed] [Google Scholar]
  10. Chawla S., Mukerjee P., Bery K. Segmental tuberculosis of the colon (a report of ten cases). Clin Radiol. 1971 Jan;22(1):104–109. doi: 10.1016/s0009-9260(71)80030-2. [DOI] [PubMed] [Google Scholar]
  11. Edington G. M., Easmon C. O. Incidence of cancer of the alimentary tract in Accra, Ghana, and Ibadan, Western Nigeria. Natl Cancer Inst Monogr. 1967 Jul;25:17–27. [PubMed] [Google Scholar]
  12. Emanuele B., Bignamini A., Ferraro U. La malattia diverticolare intestinale nei pazienti affetti da tubercolosi. Minerva Med. 1969 Mar 24;60(24):1095–1105. [PubMed] [Google Scholar]
  13. Francis T. I., Wright S. G. Schistosoma mansoni infestation of the lower bowel in Nigerians. Trop Geogr Med. 1971 Mar;23(1):84–88. [PubMed] [Google Scholar]
  14. HOWELL J. S., KNAPTON P. J. ILEO-CAECAL TUBERCULOSIS. Gut. 1964 Dec;5:524–529. doi: 10.1136/gut.5.6.524. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. LEE F. D., ROY A. D. ILEO-CAECAL GRANULOMATA. Gut. 1964 Dec;5:517–523. doi: 10.1136/gut.5.6.517. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Lewis E. A. Protein-calorie malnutrition syndrome in adults. Four case reports. Trop Geogr Med. 1970 Sep;22(3):371–376. [PubMed] [Google Scholar]
  17. MITCHELL R. S., BRISTOL L. J. Intestinal tuberculosis: an analysis of 346 cases diagnosed by routine intestinal radiography on 5,529 admissions for pulmonary tuberculosis, 1924-49. Am J Med Sci. 1954 Mar;227(3):241–249. [PubMed] [Google Scholar]
  18. NEED R. L., BEHNKE R. H. Tuberculous ulcers of the distal colon. Am Rev Respir Dis. 1963 Jul;88:69–72. doi: 10.1164/arrd.1963.88.1.69. [DOI] [PubMed] [Google Scholar]
  19. NICE C. M. The pathogenesis of tuberculosis. Dis Chest. 1950 May;17(5):550–560. doi: 10.1378/chest.17.5.550. [DOI] [PubMed] [Google Scholar]
  20. Nwokolo C. Ascites in Africa. Br Med J. 1967 Jan 7;1(5531):33–37. doi: 10.1136/bmj.1.5531.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Pain A. K. Amoebic granuloma of the large bowel. Trans R Soc Trop Med Hyg. 1971;65(3):376–379. doi: 10.1016/0035-9203(71)90017-4. [DOI] [PubMed] [Google Scholar]
  22. RANKINE J. A. Tuberculosis of the ileocecal area. J Int Coll Surg. 1952 Aug;18(2):202–209. [PubMed] [Google Scholar]
  23. RECIO P. M. Tuberculosis of the large bowel. Dis Colon Rectum. 1961 Nov-Dec;4:439–441. doi: 10.1007/BF02616579. [DOI] [PubMed] [Google Scholar]
  24. Stassa G. Tuberculous peritonitis. Am J Roentgenol Radium Ther Nucl Med. 1967 Oct;101(2):409–413. doi: 10.2214/ajr.101.2.409. [DOI] [PubMed] [Google Scholar]
  25. VIRMANI P. Ulcerative tuberculosis of the colon. An unusual case. Br J Surg. 1963 Mar;50:550–551. doi: 10.1002/bjs.18005022322. [DOI] [PubMed] [Google Scholar]
  26. Winter J., Goldman M. Tuberculosis of the terminal ileum. Gut. 1966 Oct;7(5):478–480. doi: 10.1136/gut.7.5.478. [DOI] [PMC free article] [PubMed] [Google Scholar]

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