Here’s a case of colonic tuberculosis (TB) in a 65-year-old female with recurrent hematochezia and weight loss (6 kg in 3 months), anorexia, malaise, and intermittent vague abdominal pain unrelated to food. 1 History No history diabetes and hypertension diagnosis Recurrent fresh per rectal bleeding Absence of painful defecation, tenesmus, fever, altered bowel habit, or abdominal mass No history of night sweat, joint pain, rash, cough, shortness of breath, chest pain No history of tuberculosis No family history of inflammatory bowel disease or colon cancer An abdominal ultrasound revealed parietal thickening of the transverse colon at the circumference and higher echogenicity of the adjacent adipose planes.
CT abdomen revealed: Concentric wall thickening limited to the transverse colon Luminal stenosis Increased thickening of the mesenteric folds, the peritoneum and great omentum A…
