Transverse Colon Stricture due to Kochs - A Rare Case Report

Dr. Priya Ahire, Dr. Rukmini P. Waghmare, Dr. Prachiti Gokhe, Dr. Mukund B. Tayade

Abstract: Isolated colonic tuberculosis (TB) is rare, and the symptoms are nonspecific making early diagnosis and management difficult. Although colonoscopy and biopsy is an important diagnostic modality, the features are variable and the distinction from other conditions of the colon, especially Crohns disease and malignancy, may be impossible without surgical resection. We report a case of transverse colon Tuberculosis which was diagnosed as benign stricture on colonoscopy, with non-specific results on biopsy. The diagnosis was finally made when the histopathology report was received. The rare presentation of transverse colonic tuberculosis is presented.

Keywords: stricture, Koch's, ATT, colonoscopy, biopsy, high index of suspicion, investigations