Video Endoscopic Sequence 4 of 12

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Colonic tuberculosis as a diagnostic challenge

Deep ulcerations exposing the deeper layers of the colonic
wall and leaving islands of normal mucosa, with deformity
of the lumen.

In this case of tuberculosis of the colon resemble a
Crohn's disease, lesions are typically discontinuous.
They can be adjacent to normal tissue, resulting in "skip
areas" as in Crohn's disease.

In cases where the information available does not reveal a
definite differentiation between colonic tuberculosis and
Crohn’s disease, corticosteroids should be withheld. The
administration of corticosteroids to a patient with colonic
tuberculosis may have disastrous results, and a therapeutic
trial of antituberculous drugs should be considered instead

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Julio Murra-Saca

Physician (Internal medicine - Gastroentrology)

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