A case of tuberculosis of the ileum diagnosed by a sonde-type small intestinal fiberscope
| Autor: | Keiichi Kawai, Michihiro Shimono, Fumio Misaki, Masahiro Tada, Keiji Fukumoto |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Male
medicine.medical_specialty Tuberculosis Perforation (oil well) Ileum law.invention Ileocecal valve law medicine Deformity Fiberscope Fiber Optic Technology Humans Radiology Nuclear Medicine and imaging Endoscopes medicine.diagnostic_test business.industry Gastroenterology Endoscopy Middle Aged medicine.disease Surgery Stenosis medicine.anatomical_structure Tuberculosis Gastrointestinal medicine.symptom business |
| Zdroj: | Gastrointestinal endoscopy. 24(5) |
| ISSN: | 0016-5107 |
| Popis: | mucosal erosions in 6, and deformity of the ileocecal valve in 4. The most difficult differentiation is that from Crohn's disease,' the destruction of the ileocecal valve strongly favoring the diagnosis of tuberculosis. Our case displayed all the features described by Aoki et al. 6 Final proof was given by histology and positive tissue culture. Although perforation, abscesses, and fistulas as well as obstruction and stenosis are indications for operation,S the present case demonstrates that even in the presence of an endoscopic stenosis a nonsurgical treatment may be attempted as long as no clinical signs of obstruction occur. Our patient showed a considerable improvement in symptoms and in endoscopic as well as radiographic appearances after 8 months of chemotherapy. |
| Databáze: | OpenAIRE |
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