II. Pathophysiology

  1. Involves any part of Gastrointestinal tract
  2. Ileocecal most commonly affected
  3. Risk of contracting gastrointestinal Tb
    1. Parallels severity of pulmonary disease
  4. Transmission
    1. Swallowing infected Sputum or contaminated food
    2. Hematogenous spread
    3. Contiguous spread from involved tissue

III. Symptoms

IV. Signs

  1. Blood in stool
  2. Palpable right lower quadrant mass

V. Differential Diagnosis

  1. Crohn's Disease
    1. Critical to differentiate from Tuberculosis
    2. Crohn's Treatment disseminates Tuberculosis
  2. Infection
    1. Yersinia
    2. Actinomyces
    3. Amebiasis
  3. Colon Cancer

VI. Diagnosis

  1. Endoscopy
    1. Mucosal injury
      1. Ulcerations
      2. Hypertrophic lesions
      3. Dense bandlike fibrosis
    2. Mucosal biopsy shows Acid Fast Bacilli (low yield)
    3. Culture of biopsy specimens
  2. CT Abdomen
  3. Barium Enema
    1. Shortened and retracted cecum

VII. Management

  1. See Extrapulmonary Tuberculosis
  2. Treat for six months

VIII. Complications

  1. Intestinal Obstruction
  2. Bowel perforation
  3. Enteric fistulas

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Ontology: Tuberculosis, Gastrointestinal (C0041312)

Definition (MSH) TUBERCULOSIS that involves any region of the GASTROINTESTINAL TRACT, mostly in the distal ILEUM and the CECUM. In most cases, MYCOBACTERIUM TUBERCULOSIS is the pathogen. Clinical features include ABDOMINAL PAIN; FEVER; and palpable mass in the ileocecal area.
Concepts Disease or Syndrome (T047)
MSH D014385
SnomedCT 154286002, 186228005, 240376003
English Tuberculosis, Gastrointestinal, TB of gastrointestinal tract, Tuberculosis GIT NOS, Tuberculosis of gastrointestinal tract NOS, gastrointestinal tuberculosis, gastrointestinal tuberculosis (diagnosis), tuberculosis gastrointestinal, GI tuberculosis, Tuberculosis gastrointestinal NOS, Tuberculosis, Gastrointestinal [Disease/Finding], tuberculosis digestive tract organs, tuberculosis of digestive tract organs (diagnosis), tuberculosis of digestive tract organs, Tuberculosis of gastrointestinal tract NOS (disorder), Gastrointestinal Tuberculosis, Tuberculosis gastrointestinal, Tuberculosis of gastrointestinal tract, Tuberculosis of gastrointestinal tract (disorder)
Dutch maagdarmstelseltuberculose NAO, maagdarmstelseltuberculose, Gastro-intestinale tuberculose, Tuberculose, gastro-intestinale
French Tuberculose gastro-intestinale SAI, Tuberculose gastro-intestinale, Tuberculose gastrointestinale
German Tuberkulose gastrointestinal NNB, Gastrointestinaltuberkulose, Tuberkulose, gastrointestinale, Magendarmtuberkulose
Italian Tubercolosi gastrointestinale NAS, Tubercolosi gastrointestinale
Portuguese Tuberculose gastrointestinal NE, Tuberculose Gastrintestinal, Tuberculose gastrointestinal, Tuberculose Gastrointestinal
Spanish Tuberculosis gastrointestinal NEOM, tuberculosis del tracto gastrointestinal, SAI (trastorno), tuberculosis del tracto gastrointestinal, SAI, tuberculosis del tracto gastrointestinal (trastorno), tuberculosis del tracto gastrointestinal, Tuberculosis gastrointestinal, Tuberculosis Gastrointestinal
Japanese 消化器結核, 消化器結核NOS, ショウカキケッカク, ショウカキケッカクNOS, 結核-胃腸系, 胃腸系結核, 消化管結核, 結核-腸, 胃腸結核, 腸結核, 結核-消化管
Swedish Tuberkulos, gastrointestinal
Czech tuberkulóza gastrointestinální, Gastrointestinální tuberkulóza NOS, Gastrointestinální tuberkulóza
Finnish Ruuansulatuskanavan tuberkuloosi
Russian TUBERKULEZ ZHELUDOCHNO-KISHECHNOGO TRAKTA, ZHELUDOCHNO-KISHECHNOGO TRAKTA TUBERKULEZ, ЖЕЛУДОЧНО-КИШЕЧНОГО ТРАКТА ТУБЕРКУЛЕЗ, ТУБЕРКУЛЕЗ ЖЕЛУДОЧНО-КИШЕЧНОГО ТРАКТА
Polish Gruźlica żołądkowo-jelitowa
Hungarian Gastrointestinalis tuberculosis, gastrointestinalis tuberculosis k.m.n.
Norwegian Gastrointestinal tuberkulose

Ontology: Tuberculous enteritis (C0275920)

Concepts Disease or Syndrome (T047)
ICD10 A18.32
SnomedCT 35117008, 12137005
English TB of small intestine, tuberculosis of small intestine, tuberculosis of small intestine (diagnosis), ileal tuberculosis, enteritis tuberculous (diagnosis), enteritis tuberculous, Tuberculosis of small intestine (disorder), Tuberculosis of small intestine, Tuberculous enteritis, Tuberculous enteritis (disorder), enteritis; tuberculous (etiology), enteritis; tuberculous (manifestation), tuberculosis; enteritis (etiology), tuberculosis; enteritis (manifestation), Tuberculosis of small intestine -RETIRED-
Spanish tuberculosis del intestino delgado - RETIRADO -, tuberculosis del intestino delgado - RETIRADO - (concepto no activo), enteritis tuberculosa (trastorno), enteritis tuberculosa, tuberculosis del intestino delgado
Dutch enteritis; tuberculeus, tuberculose; enteritis