A Case of Intestinal Tuberculosis Diagnosed by Colonoscopy.
- Author:
Sang Young BAE
1
;
Sun Joo PARK
;
Seung Yeon NAM
;
Ji A JUNG
;
Jeong Wan SEO
;
Sun Wha LEE
Author Information
1. Department of Pediatrics, College of Medicine Ewha Womans University, Korea.
- Publication Type:Case Report
- Keywords:
Intestinal tuberculosis;
Colonoscopy
- MeSH:
Abdominal Pain;
Anemia;
Biopsy;
Child;
Colon, Ascending;
Colonoscopy*;
Consciousness;
Crohn Disease;
Diagnosis, Differential;
Diarrhea;
Female;
Humans;
Inflammatory Bowel Diseases;
Tuberculosis*;
Weight Loss
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
1999;2(2):245-249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Childhood intestinal tuberculosis is difficult to diagnose for its protean clinical manifestations, especially in cases without pulmonary involvement. Differential diagnosis with Crohn's disease, inflammatory bowel disease and other malignancy is also important. Surgery has often been required for pathologic confirmation or therapy. Colonoscopy may be performed safely under consciousness sedation in children for bacteriologic and histopathologic confirmation of the biopsy specimen in addition to gross appearance of the lesion. We have experienced a case of intestinal tuberculosis presenting with chronic abdominal pain, diarrhea, weight loss and anemia in a 9 year old girl who was diagnosed by a colonoscopic examination and culture of the biopsy specimen from the ascending colon. The patient was managed with antituberculous drugs and recovered uneventfully.