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

© 2002, C.E. Kahn, Jr.
2002-04-18