Caecal tuberculosis.

La tuberculose intestinale : à propos de 11 observations

“…En effet, il permet de préciser le siège des lésions, de décrire leurs aspects et souvent de confirmer le diagnostic, et ce, grâce à l'examen histologique des biopsies iléocoliques. La tuberculose peut toucher tout le tube digestif avec une pré-dilection pour la région iléocaecale (35 à 50 %) [12,14]. Cette localisation prédominante pourrait s'expliquer par la stase physiologique, par le pouvoir élevé d'absorption digestive et par l'abondance du tissu lymphoïde au niveau de cette région [2,5,8].…”

Massive rectal bleeding due to ileal tuberculosis

“…4 In a review of the literature, we found that nine cases of intestinal TB with massive rectal bleeding had been reported. [3][4][5][6][7][8][9][10] Of the nine patients, six had hemorrhage from the ileocecal region, 5-9 two from the descending colon, 3,4 and one from the transverse colon. 10 Thus, in most of these patients, the bleeding occurred from the ileocecal region, and massive bleeding from ileum or jejunum (except for terminal ileum) was not reported.…”

“…A right hemicolectomy was performed in six patients, for ileocecal lesions; [5][6][7][8][9] transverse colectomy was done in one patient, for a nodular lesion in the mid-transverse colon; 10 and left hemicolectomy was done in one patient, for an ulcerative lesion in the descending colon. 4 Histological examination of the resected specimens showed caseating granulomas in all the patients.…”

“…[3][4][5][6][7][8][9][10] The ileocecal region is the most common site of gastrointestinal involvement, 11 and hemorrhage due to intestinal TB often occurred in this region. [5][6][7][8][9] Hemorrhage from small intestinal TB has rarely been reported in the medical literature. Here we report a Japanese woman who presented with massive rectal bleeding from ileal TB.…”

Intestinal Tuberculosis with Associated Coloduodenal Fistula

“…There are reports and Ceftriaxone of treatment failure with these antibiotics in cases of meningitis [4] and endocarditis [5] due to S. pneumoniae. The increase in Purulent pericarditis due to Streptococcus pneumoniae is a serious strains resistant to penicillin and cephalosporins should alert physicomplication of pneumonia.…”