1988 Volume 30 Issue 11 Pages 2678-2683
A 48-year-old man was admitted to our hospital because of right lower abdominal pain, loose stool and loss of body weight by 5 kg. Double contrast study and colonoscopy showed multiple discrete ulcers which were consisted of Kuromaru's type II, III, IV, VII and VIII from the sigmoid colon to the cecum (Figure 2a, 3a, 4, 5). At this time, Crohn's disease was mostly suspected. A plain chest radiograph showed cavity formation with pleural effusion in the left side of the lung (Figure 1). Biopsy specimen of the ulcers showed an epithelioid cell granuloma with giant cells (Figure 6). Mycobacterium tuberculosis was positive on smears of sputa and gastric juice. Secondary colonic tuberculosis was diagnosed and then chemotherapy was started. Three months later, double contrast study and colonoscopy showed multiple inflammatory polyps without scarred formation in the colon (Figure 2b, 3b). Sputa, gastric juice and stool cultures yielded mycobacterium tuberculosis var. hominis. Retrospectively, these findings which were compatible with tuberculosis are thought to be rare manifestations of active and healed tuberculosis.
