The TB--Crohn's affair--a never ending dilemma
Praveen, S.; Razman, J.
Medical Journal of Malaysia 63(3): 259-260
2008
ISSN/ISBN: 0300-5283 PMID: 19248705 Document Number: 620355
An 80 year old lady presented with signs and symptoms of sub-acute intestinal obstruction which failed conservative management. CT scan abdomen revealed circumferential ileum thickening with proximal bowel dilatation. Laparotomy and segmental resection was done. Pathological findings were suggestive of chronic granulomatous ileits with differential of Crohn's disease and gastrointestinal tuberculosis. The patient was presumed to have gastrointestinal tuberculosis and commenced on anti tuberculosis treatment despite inconclusive evidence for confirmation and showed marked clinical improvement.