Which one of the following is not true of hypertrophic intestinal tuberculosis
|A||Most commonly occurs in ileocecal region|
|B||Presents as a mass in right iliac fossa|
|C||Barium meal follow through reveals a pulled up caecum|
|D||Treatment with antituberculous drugs is the treatment of choice|
a. Gastrointestinal tuberculosis is uncommon, making up 3.5% of extrapulmonary cases in the United States.
b. Various pathogenetic mechanisms are involved: swallowing of sputum with direct seeding, hematogenous spread, or (largely in developing areas) ingestion of milk from cows affected by bovine tuberculosis.
c. Although any portion of the gastrointestinal tract may be affected, the terminal ileum and the cecum are the sites most commonly involved.
d. Abdominal pain (at times similar to that associated with appendicitis) and swelling, obstruction, hematochezia, and a palpable mass in the abdomen are common findings at presentation.
e. Two varities occur a) hyperplastic b) ulcerative.
In hyperplastic form, there is formation of a localised lump in the right lower abdomen involving the caecum and terminal ileum ascending colon.
Pulling up of caecum also seen in late cases of hyperplastic TB but amongst the given options is least correct answer.