January 1980

Segmental Tuberculosis of the Colon Mimicking Carcinoma

Author Affiliations

From the Department of Surgery (Dr Devanesan) and Sarah C. Upham Section of Gastroenterology (Drs Sable, Pitchumoni, Lev, and Zapiach), Metropolitan Hospital Center, New York Medical College, New York. Dr Devanesan is now with the College Hospital, Newark, NJ.

Arch Surg. 1980;115(1):90-91. doi:10.1001/archsurg.1980.01380010076018

• Tuberculosis of the distal colon occurring in the absence of ileocecal or pulmonary involvement is often mistaken for neoplasm or Crohn's disease. In spite of various studies, including colonoscopy and brushings with biopsy, the diagnosis might still be in doubt at the time of operation. The combined approach of surgery and chemotherapy appears to be the treatment of choice, especially in those patients who have bleeding and/or obstruction in whom the diagnosis cannot be made by other modalities.

(Arch Surg 115:90-91, 1980)