Tuberculous colitis mimicking Crohn's disease: utility of computed tomography in the differentiation

被引：18
|
作者：
Boudiaf, M
Zidi, SH
Soyer, P
Lavergne-Slove, A
Kardache, M
Logeay, O
Rymer, R
机构：
[1] Hop Lariboisiere AP HP, Dept Body & Vasc Imaging, F-75010 Paris, France
[2] Hop Lariboisiere AP HP, Dept Pathol, F-75010 Paris, France
来源：
EUROPEAN RADIOLOGY | 1998年 / 8卷 / 07期
关键词：
intestines; diseases; colon; radiography; colitis; CT; tuberculosis; gastrointestinal; Crohn's disease;
D O I：
10.1007/s003300050539
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
The case of a 50-year-old woman with pathologically proven tuberculosis colitis is reported. Clinical course, single-contrast barium enema, and colonoscopy suggested Crohn's disease. Computed tomography allowed the correct diagnosis of tuberculous colitis as it showed asymmetric thickening of the colonic wall and enlarged necrotic lymph nodes. This case suggests that the diagnosis of tuberculosis colitis may be difficult and raises the differential diagnosis with Crohn's disease. Our observation suggests that computed tomography can be helpful for the diagnosis and may avoid unnecessary exploratory laparotomy.
引用
收藏
页码：1221 / 1223
页数：3
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