Clin Endosc.  2017 Mar;50(2):206-208. 10.5946/ce.2016.076.

Endoscopic Treatment of Intussusception due to Intestinal Tuberculosis

• Kim D
• Jung H
• Kim M
• Lee J
• Kim S
• Kang D
• Kim J
• Lee I

• KMID: 2383540
• DOI: http://doi.org/10.5946/ce.2016.076

Abstract

Traditionally, adult intussusception has required a bowel resection because of the malignancy risk. A patient with anorexia, weight loss, and abdominal pain visited our clinic. A physical exam and imaging study revealed no acute peritoneal signs. A colonoscopy for biopsy and bowel reduction was attempted. The tissue sample was consistent with intestinal tuberculosis. We report intestinal tuberculosis complicating intussusception which was treated without surgical intervention.

Keyword

Tuberculosis; Intussusception; Colonoscopy

MeSH Terms

Abdominal Pain
Adult
Anorexia
Biopsy
Colonoscopy
Humans
Intussusception*
Tuberculosis*
Weight Loss

Figure

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  Fig. 1. Chest radiogram showing typical cavitary lesions in both upper lobes.

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  Fig. 2. Simple abdomen showing no significant bowel obstruction.

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  Fig. 3. Abdominal computed tomography (CT) showing the target lesion with alternating densities, which were the intussusceptum (inner layer) and intussuscepien (outer layer) (arrow).

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  Fig. 4. Asymmetric hypertrophied masses on the ileum on colonoscopic view (arrow).

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  Fig. 5. Endoscopic biopsy tissue exposed caseating granuloma (arrow) (H&E stain, ×100).

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