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Skip lesions in intestinal tuberculosis.

Syed Inamullah Shah1, Ikram Khan, Aurangzeb Khan

  • 1Department of Surgery, C.M.H. Malir Cantt., Karachi. iubk@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 30, 2003
PubMed
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Tuberculosis can cause multiple, unusual intestinal strictures, mimicking Crohn's disease. Prompt anti-tuberculosis therapy led to complete remission in this case.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pathology

Background:

  • Small intestinal strictures are common in Crohn's disease, presenting as discrete, skip lesions.
  • Tuberculosis (TB) can affect the gastrointestinal tract, but multiple, discrete small intestinal strictures are an atypical manifestation.

Observation:

  • A young female patient presented with acute intestinal obstruction.
  • Imaging revealed multiple, discrete strictures distributed throughout the small intestine.

Findings:

  • Histopathological examination confirmed intestinal tuberculosis as the cause of the strictures.
  • The patient's condition mimicked Crohn's disease due to the pattern of strictures.

Implications:

  • This case highlights the importance of considering intestinal tuberculosis in the differential diagnosis of small intestinal strictures, even with atypical presentations.

Related Experiment Videos

  • Early diagnosis and initiation of anti-tuberculosis therapy are crucial for favorable outcomes and preventing complications.
  • The findings expand the understanding of the diverse clinical and radiological spectrum of gastrointestinal tuberculosis.