TWO CASES OF JUVENILE INTESTINAL TUBERCULOSIS WITH ACUTE COLITIS LIFE APPEARANCE-WITH SPECIAL REFERENCE TO THE VALUE OF EMERGENCY COLONOSCOPY AND ANALYSIS OF COLONAL LAVAGE FLUIDS-

Abstract

Recentry we experienced two cases of juvenile intestinal tuberculosis with acute colitislike appearance. First case was a 24 year-old woman vvho came to our hospital withabdominal pain, diarrhea and melena. We performed emergency colonoscopy and collectedthe colonal lavage fluid. So we were able to make diagnosis that she had intestinaltuberculosis. Second case was a 34 year-ald man who came our hospital with abdominalpain and melena. we were able to make diagnosis that he had intestinal tuberculosis bythe same examinations as the first case. No pulmonary tuberculosis were found among thetwo cases. And only acute colitis like appearances were shown in these two cases. So iteras difficult to make diagnosis of intestinal tuberculosis only on endoscopy. We suggestthat emergency colonoscopy and analysis of collecting colonal lavage fluid far patients ofmelena are useful for rapid diagnosis of primary intestinal tuberculosis and that manyintestinal tuberculosis was overlooked by nontypical findings. Recently young people whobecame infected Mycobacterium tuberculosis were increasing. So the importance of preventing tuberculosis was suggested.