A CASE OF INTESTINAL TUBERCULOSIS WHICH SHOULD BE DIFFERENTIATED FROM CROHN'S DISEASE

DOI 18 References
  • SUGAWARA Kaori
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • TAKAHASHI Hiroki
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • SUGIMURA Mikako
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • NOGUCHI Kenji
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • IWABUCHI Masahiro
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • MANO Hiroshi
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • CHIDA Nobuyuki
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • TADOKORO Keiichi
    Department of Gastroenterology, National Hospital Organization Sendai Medical Center.
  • SUZUKI Hiroyoshi
    Department of Clinical Pathology and Laboratory, National Hospital Organization Sendai Medical Center.

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Other Title
  • Crohn病と鑑別を要した腸結核の1例

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Abstract

A 59-year-old female was admitted to our hospital with the suspected diagnosis of Crohn's disease. Colonoscopy revealed multiple longitudinal ulcers and a cobblestone-like appearance in the constricted transverse colon. Histological examination of biopsy specimens showed non-caseous epithelioid granulomas. However, a barium enema x-ray disclosed a straight line to the ileocecum and the shortening of the ascending colon, including a circular narrowing transverse colon. The contrast enema findings cast strong doubt on intestinal tuberculosis. However, mycobacterium tuberculosis complex was detected with the smear technique and PCR method from the biopsy specimens at the time of the reexamination. We report herein on a case of intestinal tuberculosis which was thought to be important for a differential diagnosis for Crohn's disease.

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