Summary
This paper deals with the clinical history, the histopathological and TEM features
of a case of intestinal spirochaetosis associated with ulcerative colitis and tubular
adenomas of the colon. It is the fifth described case of intestinal spirochaetosis
in Sweden, and the first in the literature in which a complete colonoscopy with multiple
biopsies has been performed. Intestinal spirochaetosis might lead to minor complaints
as distension and vague abdominal discomfort, as in this case, but also to more prominent
symptoms such as diarrhoea. Heavy infestation of the gut surface epithelium by spirochaetes
was seen in the total colon, but was not found in the distal ileum.
Key words:
Colon - Intestinal spirochaetosis - Colonoscopy
