Korean J Pediatr Gastroenterol Nutr.
1999 Sep;2(2):245-249.
A Case of Intestinal Tuberculosis Diagnosed by Colonoscopy
- Affiliations
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- 1Department of Pediatrics, College of Medicine Ewha Womans University, Korea.
- 2Department of Radiology, College of Medicine Ewha Womans University, Korea.
Abstract
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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.