tuberculosis: gastrointestinal manifestations

ileocecal area
- most common site (80-90%)
- Stierlin sign
- Fleischner sign
- thickened ileocecal valve
- fissures, ulcers, sinus tracts, fistulas, perforation
colon
- segmental involvement; esp. on right side
- ulcerating colitis with pseudopolyps
- hourglass stricture, wall thickening
gastroduodenal area
- simultaneous involvement of pylorus and duodenum
- stenotic pylorus with gastric outlet obstruction
- narrowed antrum (linitis plastica appearance)
- ulcers, thickened folds, antral fistula
esophagus
- least common site
- ulcers, stricture, mass, sinus tracts

Yong H. Hahn, MD - 2 February 1995
Last updated: 1 September 2006