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Related Experiment Videos

Case report: gastrointestinal tuberculosis simulating Crohn's disease

S P Kaushik1, M L Bassett, C McDonald

  • 1Gastroenterology Unit, Woden Valley Hospital, ACT, Australia.

Journal of Gastroenterology and Hepatology
|June 1, 1996
PubMed
Summary

Gastrointestinal tuberculosis can mimic Crohn's disease, leading to diagnostic challenges. Early diagnosis and appropriate anti-tuberculous treatment are crucial for successful management and cure.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Gastrointestinal tuberculosis (GITB) presents diagnostic challenges, often mimicking other inflammatory bowel diseases.
  • Lack of typical risk factors can delay the suspicion of GITB.

Observation:

  • A patient with abdominal pain and a right iliac fossa mass initially diagnosed with Crohn's disease.
  • Radiological findings revealed stricturing in the duodenum, jejunum, and ileum.
  • Corticosteroid treatment led to temporary improvement but was followed by disease progression, including complex fistulae and sepsis.

Findings:

  • Surgical exploration identified an ileal inflammatory mass with fistulae to the sigmoid colon.
  • Resection of the affected ileum, fistulae, and colon segment was performed.

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  • Post-operative treatment with anti-tuberculous drugs resulted in complete recovery and asymptomatic status at 15 months.

    • Implications:

    • Highlights the diagnostic difficulty of GITB, emphasizing its potential to be misdiagnosed as Crohn's disease.
    • Underscores the critical need for caution when using corticosteroids in suspected cases where tuberculosis is a differential diagnosis.
    • Demonstrates the successful integration of surgery, anti-tuberculous therapy, and prompt diagnosis in managing complex GITB cases.