scholarly journals Rectal tuberculosis: An uncommon clinical presentation and differential diagnosis with Crohn's disease

2019 ◽  
Vol 84 (4) ◽  
pp. 524-526
Author(s):  
M. Gompertz ◽  
L. Carreño ◽  
L.C. Gil La Rotta
Author(s):  
Basim F. Khan ◽  
Ahmed M. Basha ◽  
Bandar R. Bakhurji ◽  
Bader J. Aldossari ◽  
Abdulaziz S. Alsumaihi ◽  
...  

Abdominal tuberculosis and its protean manifestations still create a worldwide diagnostic challenge for clinicians and remain an important concern in the developing world. Crohn’s disease, which is being increasingly recognized in countries where intestinal tuberculosis is prevalent, needs to be differentiated as the two diseases resemble each other in their clinical presentation, and in their radiological, endoscopic, and histological findings. New diagnostic modalities and scoring systems have facilitated the differentiation of Crohn’s disease from intestinal tuberculosis with good accuracy. Randomized trials have shown 6 months of therapy to be equivalent to longer durations of treatment for patients with abdominal tuberculosis. 


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Masanao Nakamura ◽  
Yoshiki Hirooka ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  

Background. Although the usefulness of capsule endoscopy (CE) and double-balloon endoscopy (DBE) for the evaluation of Crohn’s disease (CD) is established, their capabilities in the differential diagnosis of small bowel stenosis have not been sufficiently addressed. The present study therefore aimed to retrospectively determine the types of patients for whom CE and DBE would confer the most benefit.Patients and Methods. We retrospectively reviewed data from 185 patients with established CD. A change of treatment based on CE or DBE results or successful DBE balloon dilation was defined as clinically useful indication. We then analyzed the factors significantly related to useful and poor indications.Results. CE results were assessed as useful indications in 28 (45%) of 62 patients. Multivariate analysis demonstrated that positive CRP and low IOIBD score are factors significantly related to a useful indication. DBE results were recognized as useful indications in 118 (77%) of 153 patients. Multivariate analysis indicated small bowel stenosis and abdominal pain as factors significantly associated with useful indications. All patients with a poor indication on CE had small bowel stenosis.Conclusions. CE was most useful for patients in clinical remission with positive CRP and without stenosis, whereas DBE was useful for patients with symptoms of stenosis.


Gut ◽  
2009 ◽  
Vol 58 (6) ◽  
pp. 742-742
Author(s):  
J G Albert ◽  
F S Gittinger ◽  
M Hainz ◽  
C Lubbert

2014 ◽  
Vol 12 (1) ◽  
pp. 42 ◽  
Author(s):  
Jun Kwon Ko ◽  
Hang Lak Lee ◽  
Jin Ok Kim ◽  
Soon Young Song ◽  
Kang Nyeong Lee ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document