Granulomatous bowel disease: Crohn’s disease and tuberculosis. Difficulties in differential diagnosis (case report and review)
https://doi.org/10.33878/2073-7556-2023-22-1-117-127
Abstract
Diagnosis of extrapulmonary forms of tuberculosis is still challenging. Abdominal tuberculosis has no pathogno- monic signs, so most patients had various diagnoses. In this clinical case, the diagnostic difficulties are due to the absence of a history of tuberculosis and the manifestation of the isolated tuberculosis process in the intestine. This forced us for a wide differential diagnostic search to exclude inflammatory bowel diseases and neoplasms and required the multidisciplinary team. This approach, awareness and alertness of specialists regarding extrapulmonary forms of tuberculosis made it possible to achieve success in this patient.
About the Authors
A. V. Vardanyan
Ryzhikh National Medical Research Center of Coloproctology
Armen V. Vardanyan
Salyama Adilya st., 2, Moscow, 123423
E. S. Merkulova
Ryzhikh National Medical Research Center of Coloproctology
Ekaterina S. Merkulova
Salyama Adilya st., 2, Moscow, 123423
V. A. Belinskaya
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Victoria A. Belinskaya
Salyama Adilya st., 2, Moscow, 123423
K. S. Frolova
Moscow Scientific and Practical Center for Tuberculosis Control
Ksenia S. Frolova
Moscow, Stromynka st.,10, , Moscow, 107076
O. A. Mainovskaya
Ryzhikh National Medical Research Center of Coloproctology
Olga A. Mainovskaya
Salyama Adilya st., 2, Moscow, 123423
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Review
For citations:
Vardanyan A.V., Merkulova E.S., Belinskaya V.A., Frolova K.S., Mainovskaya O.A. Granulomatous bowel disease: Crohn’s disease and tuberculosis. Difficulties in differential diagnosis (case report and review). Koloproktologia. 2023;22(1):117-127. https://doi.org/10.33878/2073-7556-2023-22-1-117-127
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