Case Report
-
Bronchoesophageal fistula in a patient with Crohn’s disease receiving anti-tumor necrosis factor therapy
-
Kyunghwan Oh, Kee Don Choi, Hyeong Ryul Kim, Tae Sun Shim, Byong Duk Ye, Suk-Kyun Yang, Sang Hyoung Park
-
Clin Endosc 2023;56(2):239-244. Published online December 21, 2021
-
DOI: https://doi.org/10.5946/ce.2021.215
-
-
Abstract
PDF
PubReader
ePub
- Tuberculosis is an adverse event in patients with Crohn’s disease receiving anti-tumor necrosis factor (TNF) therapy. However, tuberculosis presenting as a bronchoesophageal fistula (BEF) is rare. We report a case of tuberculosis and BEF in a patient with Crohn’s disease who received anti-TNF therapy. A 33-year-old Korean woman developed fever and cough 2 months after initiation of anti-TNF therapy. And the symptoms persisted for 1 months, so she visited the emergency room. Chest computed tomography was performed upon visiting the emergency room, which showed BEF with aspiration pneumonia. Esophagogastroduodenoscopy with biopsy and endobronchial ultrasound with transbronchial needle aspiration confirmed that the cause of BEF was tuberculosis. Anti-tuberculosis medications were administered, and esophageal stent insertion through endoscopy was performed to manage the BEF. However, the patient’s condition did not improve; therefore, fistulectomy with primary closure was performed. After fistulectomy, the anastomosis site healing was delayed due to severe inflammation, a second esophageal stent and gastrostomy tube were inserted. Nine months after the diagnosis, the fistula disappeared without recurrence, and the esophageal stent and gastrostomy tube were removed.
-
Citations
Citations to this article as recorded by

- (Re-)introduction of TNF antagonists and JAK inhibitors in patients with previous tuberculosis: a systematic review
Thomas Theo Brehm, Maja Reimann, Niklas Köhler, Christoph Lange
Clinical Microbiology and Infection.2024; 30(8): 989. CrossRef - Azathioprine/infliximab/methylprednisolone
Reactions Weekly.2023; 1963(1): 114. CrossRef
-
4,456
View
-
280
Download
-
1
Web of Science
-
2
Crossref
Original Article
-
Value of Fecal Calprotectin Measurement During the Initial Period of Therapeutic Anti-Tubercular Trial
-
Hyeong Ho Jo, Eun Young Kim, Jin Tae Jung, Joong Goo Kwon, Eun Soo Kim, Hyun Seok Lee, Yoo Jin Lee, Kyeong Ok Kim, Byung Ik Jang, the Crohn’s and Colitis Association in Daegu-Gyeongbuk
-
Clin Endosc 2022;55(2):256-262. Published online November 5, 2021
-
DOI: https://doi.org/10.5946/ce.2021.061
-
-
Abstract
PDF
PubReader
ePub
- Background
/Aims: The diagnosis of intestinal tuberculosis (ITB) is often challenging. Therapeutic anti-tubercular trial (TATT) is sometimes used for the diagnosis of ITB. We aimed to evaluate the changing pattern of fecal calprotectin (FC) levels during TATT in patients with ITB.
Methods
A retrospective review was performed on the data of 39 patients who underwent TATT between September 2015 and November 2018 in five university hospitals in Daegu, South Korea. The analysis was performed for 33 patients with serial FC measurement reports.
Results
The mean age of the participants was 48.8 years. The final diagnosis of ITB was confirmed in 30 patients based on complete mucosal healing on follow-up colonoscopy performed after 2 months of TATT. Before starting TATT, the mean FC level of the ITB patients was 170.2 μg/g (range, 11.5-646.5). It dropped to 25.4 μg/g (range, 11.5-75.3) and then 23.3 μg/g (range, 11.5-172.2) after one and two months of TATT, respectively. The difference in mean FC before and one month after TATT was statistically significant (p<0.001), and FC levels decreased to below 100 μg/g in all patients after one month of TATT.
Conclusions
All ITB patients showed FC decline after only 1 month of TATT, and this finding correlated with complete mucosal healing in the follow-up colonoscopy after 2 months of TATT.
-
Citations
Citations to this article as recorded by

- Primary Gastric Tuberculosis in an Immunocompetent Patient: The Truth Lying beneath the Surface
Fábio Pereira Correia, Luísa Martins Figueiredo, Luís Carvalho Lourenço, Sofia Santos, Rita Theias Manso, David Horta
GE - Portuguese Journal of Gastroenterology.2024; 31(3): 191. CrossRef - New diagnostic strategies to distinguish Crohn's disease and gastrointestinal tuberculosis
Himanshu Narang, Saurabh Kedia, Vineet Ahuja
Current Opinion in Infectious Diseases.2024; 37(5): 392. CrossRef - Evidence-based approach to diagnosis and management of abdominal tuberculosis
Daya Krishna Jha, Mythili Menon Pathiyil, Vishal Sharma
Indian Journal of Gastroenterology.2023; 42(1): 17. CrossRef - Fecal Calprotectin as a Surrogate Marker for Mucosal Healing After Initiating the Therapeutic Anti-Tubercular Trial
Satimai Aniwan
Clinical Endoscopy.2022; 55(2): 210. CrossRef
-
3,755
View
-
294
Download
-
4
Web of Science
-
4
Crossref
Case Reports
-
Endoscopic Treatment of Intussusception due to Intestinal Tuberculosis
-
Dooyoup Kim, Hyundo Jung, Mindae Kim, Jaehyung Lee, Sukhun Kim, Dongku Kang, Jiha Kim, Ilseon Lee
-
Clin Endosc 2017;50(2):206-208. Published online December 27, 2016
-
DOI: https://doi.org/10.5946/ce.2016.076
-
-
Abstract
PDF
PubReader
ePub
- Traditionally, adult intussusception has required a bowel resection because of the malignancy risk. A patient with anorexia, weight loss, and abdominal pain visited our clinic. A physical exam and imaging study revealed no acute peritoneal signs. A colonoscopy for biopsy and bowel reduction was attempted. The tissue sample was consistent with intestinal tuberculosis. We report intestinal tuberculosis complicating intussusception which was treated without surgical intervention.
-
Citations
Citations to this article as recorded by

- Adult Intussusception Secondary to COVID-19 Infection: A Case Report and Literature Review
Marianna Almpani, Ana Maria Bensaci
Journal of Brown Hospital Medicine.2022;[Epub] CrossRef - Adult Intussusception: An Uncommon Condition and Challenging Management
Mohamed Tarchouli, Abdelmounaim Ait Ali
Visceral Medicine.2021; 37(2): 120. CrossRef - Intussusception in a Routine Colonoscopy
Abdelwahab Ahmed, Jinyu Zhang, Kutait Anas
ACG Case Reports Journal.2020; 7(7): e00422. CrossRef - Intestinal tuberculosis simulating Crohn's disease: Differential diagnosis
Natalia García-Morales, María García-Campos, Gisselle Cordón, Marisa Iborra
Gastroenterología y Hepatología (English Edition).2019; 42(1): 29. CrossRef
-
10,421
View
-
127
Download
-
2
Web of Science
-
4
Crossref
-
Multidrug-Resistant Tuberculous Mediastinal Lymphadenitis, with an Esophagomediastinal Fistula, Mimicking an Esophageal Submucosal Tumor
-
Dongwuk Kim, Juwon Kim, Daegeun Lee, Ha Sung Chang, Hyunsung Joh, Won-Jung Koh, Jun Haeng Lee
-
Clin Endosc 2016;49(6):564-569. Published online April 18, 2016
-
DOI: https://doi.org/10.5946/ce.2016.020
-
-
Abstract
PDF
PubReader
ePub
- Mediastinal tuberculous lymphadenitis rarely mimics esophageal submucosal tumor, particularly in the case of multidrug-resistant tuberculosis (MDR-TB). Herein, we report the case of a 61-year-old woman who visited a local hospital complaining of odynophagia. An initial esophagogastroduodenoscopy revealed an esophageal submucosal tumor, and subsequent chest computed tomography showed subcarinal lymphadenopathy with an esophagomediastinal fistula. The patient was then referred to Samsung Medical Center, and a second esophagogastroduodenoscopy showed deep central ulceration, as well as a suspicious fistula in the esophageal submucosal tumor-like lesion. A biopsy examination of the ulcerative lesion confirmed focal inflammation only. Next, an endobronchial, ultrasound-guided lymph node biopsy was performed, and TB was confirmed. The patient initially began a course of isoniazid, rifampicin, ethambutol, and pyrazinamide. However, after a drug sensitivity test, she was diagnosed with MDR-TB, and second-line anti-TB medications were prescribed. She recovered well subsequently.
-
Citations
Citations to this article as recorded by

- Detection of Esophageal Tuberculosis, a Rare Cause of Abdominal Pain, on18F-FDG PET/CT
Tarun Kumar Jain, Hemant Malhotra, Subhash Nepalia, Ganesh Narayan Saxena
Journal of Nuclear Medicine Technology.2024; 52(2): 179. CrossRef - Esophagomediastinal fistula secondary to tuberculous mediastinal lymphadenopathy
Ming-Dong Zhou, Dong-Ge Han, Wei Liu
Clinics and Research in Hepatology and Gastroenterology.2023; 47(10): 102243. CrossRef - “Esophagomediastinal fistula presenting as drug resistant tuberculosis”
Chinnu Sasikumar, Ketaki Utpat, Unnati Desai, Jyotsna M. Joshi
Indian Journal of Tuberculosis.2020; 67(3): 363. CrossRef - Tuberculous esophagomediastinal fistula with concomitant mediastinal bronchial artery aneurysm-acute upper gastrointestinal bleeding: A case report
Sultan R Alharbi
World Journal of Gastroenterology.2019; 25(17): 2144. CrossRef - Combined transbronchoscopic needle aspiration (TBNA) and rapid on-site cytological evaluation (ROSE) for diagnosis of tuberculous mediastinal lymphadenitis
Xi Dai, Bin Niu, Xiao-Qiong Yang, Guo-Ping Li
Medicine.2018; 97(37): e11724. CrossRef - Mediastinal Tuberculous Lymphadenitis Diagnosed by Endosonographic Fine Needle Aspiration
Joonhwan Kim, Youngwoo Jang, Kyung Oh Kim, Yoon Jae Kim, Dong Kyun Park, Dong Hae Chung, Eun Young Kim, Jun-Won Chung
The Korean Journal of Gastroenterology.2016; 68(6): 312. CrossRef
-
11,528
View
-
130
Download
-
5
Web of Science
-
6
Crossref
-
Tuberculous Prostatic Abscess with Prostatorectal Fistula after Intravesical Bacillus Calmette-Guérin Immunotherapy
-
Jeong Ho Eom, Jai Hoon Yoon, Seok Won Lee, Hyo Sun Kim, Tae Young Park, Chang Seok Bang, Gwang Ho Baik, Dong Joon Kim
-
Clin Endosc 2016;49(5):488-491. Published online March 15, 2016
-
DOI: https://doi.org/10.5946/ce.2015.145
-
-
Abstract
PDF
PubReader
ePub
- Intravesical bacillus Calmette-Guérin (BCG) immunotherapy is a common treatment modality for bladder cancer after transurethral resection of a bladder tumor. This therapy is generally safe, and development of a prostatic abscess with a prostatorectal fistula after intravesical BCG immunotherapy is a very rare complication. This finding was incidentally obtained by the authors, who examined a patient with colonoscopy for evaluation of abdominal pain. The patient was successfully treated with antitubercular drugs. To the authors’ knowledge, this is the first report of a patient with a tuberculous prostatic abscess with prostatorectal fistula after BCG immunotherapy in South Korea.
-
Citations
Citations to this article as recorded by

- Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy
Tatsuhiro Sawada, Ayaka Igarashi, Seiji Arai, Akira Ohtsu, Yuji Fujizuka, Shun Nakazawa, Yoshitaka Sekine, Hidekazu Koike, Yosuke Furuya, Kazuhiro Suzuki
IJU Case Reports.2025; 8(1): 69. CrossRef - A case of perforation of the prostatic abscess into the rectum resulting in a rectoprostatic fistula
Yuichi Sugiyama, Atsushi Fujikawa, Shuhei Yokokawa
IJU Case Reports.2023; 6(6): 433. CrossRef - Incidental findings in and around the prostate on prostate MRI: a pictorial review
Janki Trivedi, Tom Sutherland, Mark Page
Insights into Imaging.2021;[Epub] CrossRef - Prostate abscess: A comprehensive review of the literature
Alexander J Ridgway, Angus Chin-On Luk, Ian Pearce
Journal of Clinical Urology.2019; 12(6): 441. CrossRef - Tuberculous prostatic abscess following intravesical bacillus Calmette-Guérin immunotherapy
Bin Wang, Ji-Wen Song, Hui-Qing Chen
Chinese Medical Journal.2019; 132(18): 2263. CrossRef - Diagnosis and treatment of patients with prostatic abscess in the post‐antibiotic era
Anne Lenore Ackerman, Pooja S Parameshwar, Jennifer T Anger
International Journal of Urology.2018; 25(2): 103. CrossRef - An Unusual Cause of a Prostatic Abscess
Rohit Majumdar, Nancy F. Crum-Cianflone
Infectious Diseases in Clinical Practice.2018; 26(3): 175. CrossRef - THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
V. V. Potapov, E. V. Brizhatuk
Herald Urology.2018; 6(2): 21. CrossRef
-
9,184
View
-
120
Download
-
7
Web of Science
-
8
Crossref
Original Article
-
Endoscopic Ultrasound-Guided Fine-Needle Aspiration of the Adrenal Glands: Analysis of 21 Patients
-
Rajesh Puri, Ragesh Babu Thandassery, Narendra S. Choudhary, Hardik Kotecha, Smruti Ranjan Misra, Suraj Bhagat, Manish Paliwal, Kaushal Madan, Neeraj Saraf, Haimanti Sarin, Mridula Guleria, Randhir Sud
-
Clin Endosc 2015;48(2):165-170. Published online March 27, 2015
-
DOI: https://doi.org/10.5946/ce.2015.48.2.165
-
-
Abstract
PDF
PubReader
ePub
- Background/Aims
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) cytology of adrenal masses helps in etiological diagnosis. The aim of this study was to evaluate the diagnostic yield of EUS-FNA of adrenal masses in cases where other imaging methods failed and/or were not feasible.
MethodsTwenty-one consecutive patients with adrenal masses, in whom adrenal FNA was performed because conventional imaging modalities failed and/or were not feasible, were prospectively evaluated over a period of 3 years.
ResultsOf the 21 patients (mean age, 56±12.2 years; male:female ratio, 2:1), 12 had pyrexia of unknown origin and the other nine underwent evaluation for metastasis. The median lesion size was 2.4×1.6 cm. Ten patients were diagnosed with tuberculosis (shown by the presence of caseating granulomas [n=10] and acid-fast bacilli [n=4]). Two patients had EUS-FNA results suggestive of histoplasmosis. The other patients had metastatic lung carcinoma (n=6), hepatocellular carcinoma (n=1), and adrenal lipoma (n=1) and adrenal myelolipoma (n=1). EUS results were not suggestive of any particular etiology. No procedure-related adverse events occurred.
ConclusionsEUS-FNA is a safe and effective method for evaluating adrenal masses, and it yields diagnosis in cases where tissue diagnosis is impossible or has failed using conventional imaging modalities.
-
Citations
Citations to this article as recorded by

- A case of adrenal metastasis of hepatocellular carcinoma diagnosed by endoscopic ultrasound‐guided fine‐needle aspiration
Tsuyoshi Ueda, Shinji Oe, Akitoshi Yoneda, Yudai Koya, Satoru Nebuya, Koichiro Miyagawa, Yuichi Honma, Michihiko Shibata, Shohei Shimajiri, Masaru Harada
DEN Open.2024;[Epub] CrossRef - Pitfalls in Cytological Diagnosis of Extra Adrenal Paraganglioma and Pheochromocytoma: Experience From a Tertiary Care Center
Raktim Mukherjee, Soumya Dey, Farjana Khatun, Firdous Wasim Sk, Oindrila Das, Debansu Sarkar, Krishnendu Maiti, Uttara Chatterjee
Diagnostic Cytopathology.2024; 52(12): 747. CrossRef - Anaplastic large cell lymphoma of adrenal gland—An endoscopic ultrasound enigma
Chinmay Vishwanath Hegde, Anudeep Katrevula, Balasaheb Wanve, Nageshwar Reddy Duvvur
Indian Journal of Gastroenterology.2024;[Epub] CrossRef - Research Progress of Ultrasonography in Adrenal Tumors
鑫媛 贺
Advances in Clinical Medicine.2023; 13(04): 5607. CrossRef - Adrenal gland fine needle aspiration: a multi-institutional analysis of 139 cases
Kimberly S. Point du Jour, Yazeed Alwelaie, Arlixer Coleman, Talaat Tadros, Ritu Aneja, Michelle D. Reid
Journal of the American Society of Cytopathology.2021; 10(2): 168. CrossRef - Diagnostic utility of cytology smears and cell block in adrenal lesions
Sriranjan Mukherjee, Moumita Sengupta, Ram Narayan Das, Uttara Chatterjee, Banhisikha Kanjilal, Keya Basu, Anish Kar, Akash Mondal, Satinath Mukhopadhyay
Diagnostic Cytopathology.2020; 48(11): 1003. CrossRef - EUS‐FNA, ancillary studies and their clinical utility in patients with mediastinal, pancreatic, and other abdominal lesions
Muhammad Saqib, Maheen Maruf, Sehar Bashir, Shafqat Mehmood, Noreen Akhter, Muhammed Aasim Yusuf, Asif Loya
Diagnostic Cytopathology.2020; 48(11): 1058. CrossRef - Fine‐needle aspiration of adrenal lesions: A 20‐year single institution experience with comparison of percutaneous and endoscopic ultrasound guided approaches
Aaron G. Novotny, Jordan P. Reynolds, Akeesha A. Shah, Amit Bhatt, Prabhleen Chahal, Erick M. Remer, Tyler Stevens, Stephen Gmitro, Charles D. Sturgis
Diagnostic Cytopathology.2019; 47(10): 986. CrossRef - Adrenal biopsy: performance and use
Catherine D. Zhang, Danae A. Delivanis, Patrick W. Eiken, Thomas D. Atwell, Irina Bancos
Minerva Endocrinologica.2019;[Epub] CrossRef - Endoscopic ultrasound-guided fine-needle aspiration of enlarged adrenals in patients with pyrexia of unknown origin: A single-center experience of 52 cases
Rinkesh K. Bansal, Narendra S. Choudhary, Saurabh K. Patle, Amit Agarwal, Gagandeep Kaur, Haimanti Sarin, Rajesh Puri
Indian Journal of Gastroenterology.2018; 37(2): 108. CrossRef - Transesophageal approach to lung, adrenal biopsy and fiducial placement using endoscopic ultrasonography (EUS): An interventional pulmonology experience. Initial experience of the UCSF-FRETOC (fresno tracheobronchial & oesophageal center) study group
Faye M. Pais, Raj A. Shah, Jose J. Vempilly, Sneha Gullapalli, Daya Upadhyay, Michael Peterson, Moishe Liberman, Pravachan Hegde
Respiratory Medicine.2018; 141: 52. CrossRef - First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma
Shaunak R. Mulani, Patrick Stoner, Alexander Schlachterman, Hans K. Ghayee, Li Lu, Anand Gupte
Case Reports in Gastrointestinal Medicine.2018; 2018: 1. CrossRef - Lipomatous tumours in adrenal gland: WHO updates and clinical implications
Alfred King-yin Lam
Endocrine-Related Cancer.2017; 24(3): R65. CrossRef - A Twenty-First-Century Perspective of Disseminated Histoplasmosis in India: Literature Review and Retrospective Analysis of Published and Unpublished Cases at a Tertiary Care Hospital in North India
Ayush Gupta, Arnab Ghosh, Gagandeep Singh, Immaculata Xess
Mycopathologia.2017; 182(11-12): 1077. CrossRef - DIAGNOSIS OF ENDOCRINE DISEASE: The diagnostic performance of adrenal biopsy: a systematic review and meta-analysis
Irina Bancos, Shrikant Tamhane, Muhammad Shah, Danae A Delivanis, Fares Alahdab, Wiebke Arlt, Martin Fassnacht, M Hassan Murad
European Journal of Endocrinology.2016; 175(2): R65. CrossRef - Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors
Martin Fassnacht, Wiebke Arlt, Irina Bancos, Henning Dralle, John Newell-Price, Anju Sahdev, Antoine Tabarin, Massimo Terzolo, Stylianos Tsagarakis, Olaf M Dekkers
European Journal of Endocrinology.2016; 175(2): G1. CrossRef - Role of endoscopic ultrasound in non-small cell lung cancer
Sumit Bhatia, Rajesh Puri
International Journal of Gastrointestinal Intervention.2016; 5(3): 187. CrossRef - Is Endoscopic Ultrasonography-Guided Fine Needle Aspiration Trailblazing in Tissue Sampling of Adrenal Masses?
Tae Hyeon Kim
Clinical Endoscopy.2015; 48(2): 94. CrossRef
-
9,033
View
-
97
Download
-
26
Web of Science
-
18
Crossref
Case Report
-
A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor
-
Ji Hye Jung, Seong Hwan Kim, Min Jeong Kim, Young Kwan Cho, Sang Bong Ahn, Byoung Kwan Son, Yun Ju Jo, Young Sook Park
-
Clin Endosc 2014;47(4):346-349. Published online July 28, 2014
-
DOI: https://doi.org/10.5946/ce.2014.47.4.346
-
-
Abstract
PDF
PubReader
ePub
Tuberculosis remains a serious infectious disease with primary features of pulmonary manifestation in Korea. However, duodenal tuberculosis is rare in gastrointestinal cases of extrapulmonary tuberculosis. Here, we report a case of primary duodenal tuberculosis mistaken as a malignant tumor and diagnosed with QuantiFERON-TB GOLD (Cellestis Ltd.) in an immunocompetent male patient.
-
Citations
Citations to this article as recorded by

- Rare case of duodenal tuberculosis causing gastric outlet obstruction, a case report
Yohannis Derbew Molla, Samrawit Andargie Kassa, Amanuel Kassa Tadesse
International Journal of Surgery Case Reports.2023; 105: 108080. CrossRef - Primary Extraskeletal Ewing Sarcoma of the Duodenum Revealed by 18F-FDG PET/CT
Hao Liu, Yan Deng, Nan Liu, Jing Huang, Wei Zhang
Clinical Nuclear Medicine.2023; 48(8): e398. CrossRef - Infections in the gastrointestinal tract that can mimic malignancy
David W. Dodington, Klaudia M. Nowak, Runjan Chetty
Diagnostic Histopathology.2022; 28(10): 435. CrossRef - Disseminated tuberculosis mimicking abdominal metastatic carcinoma
Qi Zhou, MiaoXin Zhang
Medicine.2021; 100(47): e27886. CrossRef - Primary duodenal tuberculosis misdiagnosed as tumor by imaging examination: A case report
Yang Zhang, Xiao-Jun Shi, Xian-Cui Zhang, Xing-Jie Zhao, Jun-Xiang Li, Lin-Heng Wang, Chun-E Xie, Yu-Yue Liu, Yun-Liang Wang
World Journal of Clinical Cases.2020; 8(24): 6537. CrossRef - The role of dual time point PET/CT for distinguishing malignant from benign focal 18F-FDG uptake duodenal lesions
Ri Sa, Hong-Guang Zhao, Yu-Yin Dai, Feng Guan
Medicine.2018; 97(38): e12521. CrossRef - Lymph node tuberculosis mimicking malignancy on 18F-FDG PET/CT in two patients: A case report
Rui-Lin Ding, Hong-Ying Cao, Yue Hu, Chang-Ling Shang, Fang Xie, Zhen-Hua Zhang, Qing-Lian Wen
Experimental and Therapeutic Medicine.2017; 13(6): 3369. CrossRef
-
6,447
View
-
62
Download
-
6
Web of Science
-
7
Crossref
Focused Review Series: A Perspective: Endoscopy and Imaging in Inflammatory Bowel Disease
-
Computed Tomography Enterography for Evaluation of Inflammatory Bowel Disease
-
Min Jung Park, Joon Seok Lim
-
Clin Endosc 2013;46(4):327-366. Published online July 31, 2013
-
DOI: https://doi.org/10.5946/ce.2013.46.4.327
-
-
Abstract
PDF
PubReader
ePub
Computed tomography enterography (CTE) has become a main modality for the evaluation of inflammatory bowel disease (IBD). It simultaneously offers visualization of the small bowel and extraintestinal status, which is helpful for diagnosing IBD. Crohn disease has long segmental enhancing wall thickening related with the eccentric longitudinal distribution. In addition, mural stratification, fibrofatty proliferation, positive comb sign by increased mesenteric vascularity and internal/perianal fistula are characteristics of Crohn disease and can be identified on CTE. Short segmental inflammatory wall thickening and the central low attenuated lymph nodes are favorable CT finding of intestinal tuberculosis. A geographic, relatively large, and deep penetrating ulcer with bowel wall thickening and mural hyperenhancement in ileocecal area are characteristics of intestinal Behcet disease. Each of CTE findings for the IBDs is helpful for differential diagnosis. The main disadvantage of this technique is the requisite radiation exposure of patients, particularly in young patients. However, recent development of advanced CT techniques is promising for radiation dose reduction without compromising diagnostic image quality.
-
Citations
Citations to this article as recorded by

- Appearance of the Bowel and Mesentery During Surgery Is Not Predictive of Postoperative Recurrence After Ileocecal Resection for Crohn’s Disease: A Prospective Monocentric Study
Gabriele Bislenghi, Julie Van Den Bossch, Steffen Fieuws, Albert Wolthuis, Marc Ferrante, Gert de Hertogh, Severine Vermeire, André D’Hoore
Inflammatory Bowel Diseases.2024; 30(10): 1686. CrossRef - Machine Learning and Radiomics: Changing the Horizon of Crohn’s Disease Assessment
Raseen Tariq, Saam Dilmaghani
Inflammatory Bowel Diseases.2024; 30(10): 1919. CrossRef - Differential diagnosis of Crohn’s disease and intestinal tuberculosis based on ATR-FTIR spectroscopy combined with machine learning
Yuan-Peng Li, Tian-Yu Lu, Fu-Rong Huang, Wei-Min Zhang, Zhen-Qiang Chen, Pei-Wen Guang, Liang-Yu Deng, Xin-Hao Yang
World Journal of Gastroenterology.2024; 30(10): 1377. CrossRef - Intestinal ultrasound for intestinal Behçet disease reflects endoscopic activity and histopathological findings
Katsuki Yaguchi, Reiko Kunisaki, Sho Sato, Kaori Hirai, Misato Izumi, Yoshimi Fukuno, Mami Tanaka, Mai Okazaki, Rongrong Wu, Yurika Nishikawa, Yusuke Matsune, Shunsuke Shibui, Yoshinori Nakamori, Masafumi Nishio, Mao Matsubayashi, Tsuyoshi Ogashiwa, Ayako
Intestinal Research.2024; 22(3): 297. CrossRef - Research Progress of the Use of Balloon-Assisted Enteroscopy (BAE) in Small Bowel Diseases
芸玲 李
Advances in Clinical Medicine.2024; 14(09): 555. CrossRef - The Current Role of Imaging in the Diagnosis of Inflammatory Bowel Disease and Detection of Its Complications: A Systematic Review
Muhammad Yasir Younis, Muhammad Usman Khan, Usman Khan, Talal Latif Khan, Hassan Mukarram, Kanav Jain, Insha Ilyas, Wachi Jain
Cureus.2024;[Epub] CrossRef - Imaging of Gastrointestinal Tract Ailments
Boyang Sun, Jingang Liu, Silu Li, Jonathan F. Lovell, Yumiao Zhang
Journal of Imaging.2023; 9(6): 115. CrossRef - Computed tomography enterography-based multiregional radiomics model for differential diagnosis of Crohn’s disease from intestinal tuberculosis
Tong Gong, Mou Li, Hong Pu, Long-lin Yin, Sheng-kun Peng, Zhou Zhou, Mi Zhou, Hang Li
Abdominal Radiology.2023; 48(6): 1900. CrossRef - The treatment principles and targets for intestinal Behcet’s disease
Kun He, Dong Wu
Therapeutic Advances in Gastroenterology.2023;[Epub] CrossRef - Differentiating gastrointestinal tuberculosis and Crohn's disease- a comprehensive review
Arup Choudhury, Jasdeep Dhillon, Aravind Sekar, Pankaj Gupta, Harjeet Singh, Vishal Sharma
BMC Gastroenterology.2023;[Epub] CrossRef - New score models for assessing disease activity in Crohn's disease based on bowel ultrasound and biomarkers: Ideal surrogates for endoscopy or imaging
Qingyang Zhou, Qingli Zhu, Wei Liu, Wenbo Li, Li Ma, Mengsu Xiao, Jingjuan Liu, Hong Yang, Jiaming Qian
Clinical and Translational Science.2023; 16(9): 1639. CrossRef - Results of the Eighth Scientific Workshop of ECCO: Pathophysiology and Risk Factors of Postoperative Crohn’s Disease Recurrence after an Ileocolonic Resection
Pauline Rivière, Gabriele Bislenghi, Nassim Hammoudi, Bram Verstockt, Steven Brown, Melissa Oliveira-Cunha, Willem Bemelman, Gianluca Pellino, Paulo Gustavo Kotze, Gabriele Dragoni, Mariangela Allocca, Nurulamin M Noor, Lieven Pouillon, Míriam Mañosa, Edo
Journal of Crohn's and Colitis.2023; 17(10): 1557. CrossRef - How can the surgeon reduce recurrence after surgery for ileocolic Crohn's disease?
Steven R. Brown
Seminars in Colon and Rectal Surgery.2023; 34(4): 100985. CrossRef - Magnetic resonance colonography with intestine-absorbable nanoparticle contrast agents in evaluation of colorectal inflammation
Xue Dong, Jingfeng Luo, Pengxun Lan, Xiuyu Guo, Xin Zhao, Xiaoyan Wang, Fei Zhou, Qiangfeng Wang, Hong Yuan, Jihong Sun
European Radiology.2021; 31(7): 4615. CrossRef - Intestinal tuberculosis or Crohn’s disease: a review of the diagnostic models designed to differentiate between these two gastrointestinal diseases
Julajak Limsrivilai, Nonthalee Pausawasdi
Intestinal Research.2021; 19(1): 21. CrossRef - Diagnostic role of computed tomography enterography (CTE) in assessment of intra-mural and extra-intestinal CT findings in active Crohn’s disease (CD)
Rasha Mostafa Mohamed Ali, Mai Bahgat Ibrahim Ghonimy
Egyptian Journal of Radiology and Nuclear Medicine.2021;[Epub] CrossRef - Computed tomography enterography for crohn’s disease: correlation between the imaging findings and histopathologic scoring system
Liang Ma, Xing Shen, Yi-Jing Chen, Qi Zhang, Bo Li, Wei Zhang
Abdominal Radiology.2021; 46(9): 4121. CrossRef - Wireless Capsule Endoscopy for Diagnosis and Management of Post-Operative Recurrence of Crohn’s Disease
Adil Mir, Vu Q. Nguyen, Youssef Soliman, Dario Sorrentino
Life.2021; 11(7): 602. CrossRef - COMPARATIVE ANALYSIS OF TWO ORAL CONTRAST AGENT VOLUMES FOR COMPUTED TOMOGRAPHY ENTEROGRAPHY IN CROHN’S DISEASE PATIENTS
Fernanda Lofiego RENOSTO, Jaqueline Ribeiro de BARROS, Guilherme A BERTOLDI, Sergio Ribeiro MARRONE, Ligia Yukie SASSAKI, Rogerio SAAD-HOSSNE
Arquivos de Gastroenterologia.2021; 58(3): 322. CrossRef - Crohn’s disease at radiological imaging: focus on techniques and intestinal tract
Giuseppe Cicero, Silvio Mazziotti
Intestinal Research.2021; 19(4): 365. CrossRef - Computed Tomography Enterography Demonstrates Association to Histopathological Grading of Small Bowel Crohn’s Activity
Husam H Mansour, Yasser S Alajerami, Ahmed A Najim, Khaled M Abushab
Electronic Journal of General Medicine.2021; 18(6): em330. CrossRef - Autoinflammatory diseases in childhood, part 2: polygenic syndromes
María Navallas, Emilio J. Inarejos Clemente, Estíbaliz Iglesias, Mónica Rebollo-Polo, Joan Calzada Hernández, Oscar M. Navarro
Pediatric Radiology.2020; 50(3): 431. CrossRef - Diagnostic efficacy of double-balloon enteroscopy in patients with suspected isolated small bowel Crohn’s disease
Zihan Huang, Xiang Liu, Fei Yang, Guoxin Wang, Nan Ge, Sheng Wang, Jintao Guo, Siyu Sun
BMC Gastroenterology.2020;[Epub] CrossRef - Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants
Kenji Watanabe, Satoshi Tanida, Nagamu Inoue, Reiko Kunisaki, Kiyonori Kobayashi, Masakazu Nagahori, Katsuhiro Arai, Motoi Uchino, Kazutaka Koganei, Taku Kobayashi, Mitsuhiro Takeno, Fumiaki Ueno, Takayuki Matsumoto, Nobuhisa Mizuki, Yasuo Suzuki, Tadakaz
Journal of Gastroenterology.2020; 55(7): 679. CrossRef - Retrospective study of the differential diagnosis between cryptogenic multifocal ulcerous stenosing enteritis and small bowel Crohn’s disease
Dan Chen, Wei Liu, Weixun Zhou, Weiyang Zheng, Dong Wu, Jiaming Qian
BMC Gastroenterology.2020;[Epub] CrossRef - The Role of Active Inflammation and Surgical Therapy in Crohn’s Disease Recurrence
S. Ingallinella, M. Campanelli, A. Antonelli, C. Arcudi, V. Bellato, A. Divizia, M. Franceschilli, L. Petagna, B. Sensi, S. Sibio, L. Siragusa, G. S. Sica, Lukas J.A.C. Hawinkels
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - The Mesentery, Systemic Inflammation, and Crohn’s Disease
Edgardo D Rivera, John Calvin Coffey, Dara Walsh, Eli D Ehrenpreis
Inflammatory Bowel Diseases.2019; 25(2): 226. CrossRef - Intestinal fibrosis
Marco Vincenzo Lenti, Antonio Di Sabatino
Molecular Aspects of Medicine.2019; 65: 100. CrossRef - Evaluation of CT enterography findings for endoscopic complete remission after anti-TNF-α therapy in patients with Crohn’s disease
Jieun Kim, Seung Ho Kim, Tae Oh Kim
Acta Radiologica.2019; 60(10): 1200. CrossRef - Crohn's disease: A retrospective analysis between computed tomography enterography, colonoscopy, and histopathology
C. Saade, L. Nasr, A. Sharara, K. Barada, A. Soweid, F. Murad, A. Tawil, D. Ghieh, K. Asmar, H. Tamim, N.J. Khoury
Radiography.2019; 25(4): 349. CrossRef - Cinematic rendering: a new imaging approach for ulcerative colitis
Jun Yang, Xu Liu, Chengde Liao, Qinqing Li, Dan Han
Japanese Journal of Radiology.2019; 37(8): 590. CrossRef - CT ENTEROCLYSIS VERSUS CT ENTEROGRAPHY IN THE EVALUATION OF SUSPECTED SMALL BOWEL PATHOLOGIES - A CASE SERIES
Monisha Jacob, Jeffrey Ralph, Praveen Kumar Vasanthraj, Prithiviraj P. V, Sushmitha M. S
Journal of Evidence Based Medicine and Healthcare.2019; 6(7): 458. CrossRef - The effect of without using anisodamine during CT enterography on image quality, diagnostic performance and latent side effects
Didi Wen, Jian Xu, Ying Liu, Rui An, Jian Li, Hongliang Zhao, Minwen Zheng
Clinical Imaging.2018; 48: 106. CrossRef - Comparison of diagnostic performance between 1 millisievert CT enterography and half-standard dose CT enterography for evaluating active inflammation in patients with Crohn’s disease
Jung Hee Son, Seung Ho Kim, Een Young Cho, Kyeong Hwa Ryu
Abdominal Radiology.2018; 43(7): 1558. CrossRef - Management of Crohn’s Disease and Complications in Patients With Ostomies
Xinying Wang, Bo Shen
Inflammatory Bowel Diseases.2018; 24(6): 1167. CrossRef - Value of dual-energy CT enterography in the analysis of pathological bowel segments in patients with Crohn's disease
A.M. Villanueva Campos, G. Tardáguila de la Fuente, E. Utrera Pérez, C. Jurado Basildo, D. Mera Fernández, C. Martínez Rodríguez
Radiología (English Edition).2018; 60(3): 223. CrossRef - Valor de la enterografía por tomografía computarizada con doble energía en el análisis de segmentos intestinales patológicos en pacientes con enfermedad de Crohn
A.M. Villanueva Campos, G. Tardáguila de la Fuente, E. Utrera Pérez, C. Jurado Basildo, D. Mera Fernández, C. Martínez Rodríguez
Radiología.2018; 60(3): 223. CrossRef - Role of surgery in the management of Crohn's disease
Alessandro Fichera, Francisco Schlottmann, Mukta Krane, Greta Bernier, Erin Lange
Current Problems in Surgery.2018; 55(5): 162. CrossRef - Intestinal Behçet Disease: Evaluation With MR Enterography—A Case-Control Study
Elif Peker, Ayşe Erden, İlhan Erden, Nurşen Düzgün
American Journal of Roentgenology.2018; 211(4): 767. CrossRef - 18 F-FDG PET/CT in Extensive Graft-Versus-Host Disease of the Gastrointestinal Tract Following Autologous Stem Cell Transplantation
Danijela Dejanovic, Annemarie Amtoft, Annika Loft
Diagnostics.2018; 8(4): 72. CrossRef - The Association of Coloproctology of Great Britain and Ireland consensus guidelines in surgery for inflammatory bowel disease
S. R. Brown, N. S. Fearnhead, O. D. Faiz, J. F. Abercrombie, A. G. Acheson, R. G. Arnott, S. K. Clark, S. Clifford, R. J. Davies, M. M. Davies, W. J. P. Douie, M. G. Dunlop, J. C. Epstein, M. D. Evans, B. D. George, R. J. Guy, R. Hargest, A. B. Hawthorne,
Colorectal Disease.2018; 20(S8): 3. CrossRef - Meta-Analytic Bayesian Model For Differentiating Intestinal Tuberculosis from Crohn's Disease
Julajak Limsrivilai, Andrew B Shreiner, Ananya Pongpaibul, Charlie Laohapand, Rewat Boonanuwat, Nonthalee Pausawasdi, Supot Pongprasobchai, Sathaporn Manatsathit, Peter D R Higgins
American Journal of Gastroenterology.2017; 112(3): 415. CrossRef - Structured reporting of CT enterography for inflammatory bowel disease: effect on key feature reporting, accuracy across training levels, and subjective assessment of disease by referring physicians
Benjamin Wildman-Tobriner, Brian C. Allen, Mustafa R. Bashir, Morgan Camp, Chad Miller, Lauren E. Fiorillo, Alan Cubre, Sanaz Javadi, Alex D. Bibbey, Wendy L. Ehieli, Nancy McGreal, Reinaldo Quevedo, Julie K. Thacker, Maciej Mazurowski, Tracy A. Jaffe
Abdominal Radiology.2017; 42(9): 2243. CrossRef - Magnetic Resonance Enterography Findings of Intestinal Behçet Disease in a Child
Tommaso D’Angelo, Romina Gallizzi, Claudio Romano, Giuseppe Cicero, Silvio Mazziotti
Case Reports in Radiology.2017; 2017: 1. CrossRef - Nanoparticle‐based imaging of inflammatory bowel disease
Yingwei Wu, Karen Briley, Xiaofeng Tao
WIREs Nanomedicine and Nanobiotechnology.2016; 8(2): 300. CrossRef - Misdiagnosis and Mistherapy of Crohn's Disease as Intestinal Tuberculosis
Jiang-Peng Wei, Xiao-Yan Wu, Sen-Yang Gao, Qiu-Yu Chen, Tong Liu, Gang Liu
Medicine.2016; 95(1): e2436. CrossRef - Role of Computed Tomography in Pediatric Abdominal Conditions
Anu Eapen, Sridhar Gibikote
The Indian Journal of Pediatrics.2016; 83(7): 691. CrossRef - The Role of the Mesentery in Crohnʼs Disease
Yi Li, Weiming Zhu, Lugen Zuo, Bo Shen
Inflammatory Bowel Diseases.2016; 22(6): 1483. CrossRef - Diagnostic imaging and radiation exposure in inflammatory bowel disease
Nekisa Zakeri, Richard CG Pollok
World Journal of Gastroenterology.2016; 22(7): 2165. CrossRef
-
14,099
View
-
187
Download
-
49
Crossref
Case Reports
-
Intra-Abdominal Tuberculous Lymphadenitis Diagnosed Using an Endoscopic Ultrasonography-Guided ProCore Needle Biopsy
-
Tae Hee Lee, Joo Young Cho, Gene Hyun Bok, Won Young Cho, So Young Jin
-
Clin Endosc 2013;46(1):77-80. Published online January 31, 2013
-
DOI: https://doi.org/10.5946/ce.2013.46.1.77
-
-
Abstract
PDF
PubReader
ePub
Intra-abdominal tuberculous lymphadenitis can mimic a variety of other abdominal disorders such as pancreatic cancer, metastatic lymph nodes, or lymphoma, which can make a proper diagnosis difficult. A correct diagnosis of intra-abdominal tuberculous lymphadenitis can lead to appropriate management. Endoscopic ultrasonography (EUS)-guided needle biopsy may be the procedure of choice for tissue acquisition when onsite cytopathology examination is unavailable because it is essential to obtain sufficient material suitable for the examination using an ancillary method, such as flow cytometry, molecular diagnosis, cytogenetics, or microbiological culture. We report a case of intra-abdominal tuberculous lymphadenitis diagnosed using an EUS-guided, 22-gauge histology new needle biopsy without an onsite cytopathology examination.
-
Citations
Citations to this article as recorded by

- Coeliac lymph node abscess: A case report of a rare manifestation of extrapulmonary tuberculosis
Asitha Goonetilleke, Malith Nandasena, Nilesh Fernandopulle, Anne Thushara Matthias
SAGE Open Medical Case Reports.2024;[Epub] CrossRef - Current role of endoscopic ultrasound for gastrointestinal and abdominal tuberculosis
Hasan Maulahela, Achmad Fauzi, Kaka Renaldi, Qorina P Srisantoso, Amirah Jasmine
JGH Open.2022; 6(11): 745. CrossRef - Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration
Sung Bum Kim, Tae Nyeun Kim, Kook Hyun Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2018; 18(1): 65. CrossRef - Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding
Tae Un Kim, Su Jin Kim, Hwaseong Ryu, Jin Hyeok Kim, Hee Seok Jeong, Jieun Roh, Jeong A Yeom, Byung Soo Park, Dong Il Kim, Ki Hyun Kim
The Korean Journal of Gastroenterology.2018; 72(6): 304. CrossRef - Ultrasonography in the Assessment of Lymph Node Disease
Hans-Peter Weskott, Sanshan Yin
Ultrasound Clinics.2014; 9(3): 351. CrossRef - Minimally Invasive Mediastinal Staging of Non–Small-Cell Lung Cancer: Emphasis on Ultrasonography-Guided Fine-Needle Aspiration
Cynthia L. Harris, Eric M. Toloza, Jason B. Klapman, Shivakumar Vignesh, Kathryn Rodriguez, Frank J. Kaszuba
Cancer Control.2014; 21(1): 15. CrossRef
-
6,486
View
-
73
Download
-
3
Web of Science
-
6
Crossref
-
Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment
-
Sun Moon Kim, Ki Hyun Ryu, Young Suk Kim, Tae Hee Lee, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Choi, Young Woo Kang
-
Clin Endosc 2012;45(2):174-176. Published online June 30, 2012
-
DOI: https://doi.org/10.5946/ce.2012.45.2.174
-
-
Abstract
PDF
PubReader
ePub
Colorectal fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impactation. The rectosigmoid area is the common site for fecalomas and the cecum is the most unusual site. Diagnosis is usually made by distinctive radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, endoscopic procedures or a surgical intervention may be needed. We report here that a cecal fecaloma caused by intestinal tuberculosis scar was successfully removed by endoscopic procedures.
-
Citations
Citations to this article as recorded by

- Fecaloma: Classification, Treatment, and Outcomes
Diogo Henrique Saliba de Souza, Lucio Kenny Morais, Salustiano Gabriel Neto, Mauro Bafutto, Dayse Elisabeth Campos Oliveira, Camila Campos Oliveira, Jarbas Jabur Bittar Neto, Alejandro Luquetti Ostermayer, Ênio Chaves Oliveira
World Journal of Colorectal Surgery.2024; 13(4): 124. CrossRef - Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction
Risa Kanai, Kengo Nakaya, Koji Fukumoto, Masaya Yamoto, Hiromu Miyake, Akiyoshi Nomura, Susumu Yamada, Akihiro Makino, Hideto Iwafuchi, Naoto Urushihara, Georg Singer
Case Reports in Pediatrics.2021; 2021: 1. CrossRef - Cecal fecaloma: A rare cause of right lower quadrant pain
Brian T. Wang, Stefanie Y. Lee
European Journal of Radiology Open.2019; 6: 136. CrossRef - Gastrointestinal Tuberculosis
Eric H. Choi, Walter J. Coyle, David Schlossberg
Microbiology Spectrum.2016;[Epub] CrossRef - Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection
Jong Jin Lee, Jeong Wook Kim
The Korean Journal of Gastroenterology.2015; 66(1): 46. CrossRef - Ileal Fecaloma Presenting with Small Bowel Obstruction
Ha Yeong Yoo, Hye Won Park, Seong-Hwan Chang, Sun Hwan Bae
Pediatric Gastroenterology, Hepatology & Nutrition.2015; 18(3): 193. CrossRef
-
11,348
View
-
64
Download
-
6
Crossref
-
Two Cases of Unusual Infectious Peritonitis Mimicking Peritoneal Carcinomatosis of Early Gastric Cancer
-
Seung Bum Lee, M.D., Ho June Song, M.D., Suk Won Choi, M.D., Hoon Yu, M.D., Jeong Hoon Lee, M.D., Hwoon-Yong Jung, M.D. and Jin-Ho Kim, M.D.
-
Korean J Gastrointest Endosc 2010;41(2):102-107. Published online August 30, 2010
-
-
-
Abstract
PDF
- Endoscopic mucosal resection is an organ-saving and minimally invasive treatment modality for early gastric cancer that is mucosa-confined, differentiated, and less than 2 cm in size. On pre-treatment cancer staging work-ups, unusual, benign, infiltrative peritoneal lesions can mimic metastasis of early gastric cancer, and thus lead to loss of an opportunity for the lesion to be properly treated by endoscopy. In the present cases, we report two unusual cases of infectious peritonitis, i.e., tuberculosis and paragonimiasis, which have been occurring sporadically in Korea. The two infectious lesions were confirmed by peritoneal biopsy and the gastric cancers were subsequently removed by endoscopic mucosectomy. These two cases remind us of 1) following indications for endoscopic mucosectomy, 2) the need for peritoneal biopsy for undetermined peritoneal lesions while avoiding laparoscopic gastrectomy, and 3) the coincidental occurrence of unusual infectious peritonitis with gastric cancer in our geographic region. (Korean J Gastrointest Endosc 2010;41:102-107)
-
Endoscopic Ultrasonographic Findings of Esophageal Tuberculosis: Case Report
-
Kyu Hyun Cho, M.D., Jin Tae Jung, M.D., Chang Jae Hur, M.D., Joong Goo Kwon, M.D., Eun Young Kim, M.D. and Hoon Kyu Oh, M.D.*
-
Korean J Gastrointest Endosc 2010;40(5):312-315. Published online May 30, 2010
-
-
-
Abstract
PDF
- Esophageal tuberculosis is a rare disease that is difficult to diagnose with esophagogastroduodenoscopy (EGD), endoscopic ultrasonography (EUS), and computerized tomography. The patients with esophageal tuberculosis show diverse endoscopic findings, but ulcerative lesion in the middle esophagus is usually found. In Korea, the endoscopic ultrasonographic findings of esophageal tuberculosis have not been described. The main endoscopic ultrasonographic findings of esophageal tuberculosis include heterogeneous or homogeneous hypoechoic masses in the esophageal wall with hyperechoic spots inside, interruption of the esophageal adventitia, and mediastinal lymphadenopathy. In this report, we describe two patients with esophageal tuberculosis, and they presented with submucosal tumor. In these patients, esophageal tuberculosis was diagnosed by EGD, EUS, and performing tuberculosis phase chain reaction on the endoscopic biopsies. (Korean J Gastrointest Endosc 2010;40:312-315)
-
Adenocarcinoma and Tuberculous Lymphadenitis on the Same Site of the Sigmoid Colon: A Case Report and Literature Review
-
Sung Ho Ryu, M.D., Woon Geon Shin, M.D., Seung Min Lee, M.D., So Yeon Park, M.D., Sung Jun Kim, M.D., Jong Jin Yoo, M.D., Seoung Jin Cho, M.D.* and Hak Yang Kim, M.D.
-
Korean J Gastrointest Endosc 2009;39(5):285-290. Published online November 30, 2009
-
-
-
Abstract
PDF
- Inflammatory bowel disease can progress to colon cancer. However, there is not much of a causal relationship between intestinal tuberculosis and colon cancer. There have been a few case reports of intestinal tuberculosis in association with colon cancer. We experienced a 59-year-old man who had the collision-like pathology of adenocarcinoma and tuberculous lymphadenitis on the sigmoid colon. He visitied our hospital because of abdominal pain and hematochezia. Colonoscopy showed a mass on the sigmoid colon that was causing luminal obstruction. Therefore, sigmoidectomy was performed and the resected specimen revealed a collision-like appearance; the mass was composed of adenocarcinoma invading the proper muscle layer and caseating granuloma in the serosa and lymph nodes. We report here on a case of collision-like pathology that was composed of adenocarcinoma and tuberculosis on the sigmoid colon, and we review the relevant literature. (Korean J Gastrointest Endosc 2009;39:285-290)
-
Acute Pseudodiverticular Bleeding from a Tuberculous Scar of the Terminal Ileum
-
Suh Eun Bae, M.D., Sung-Ae Jung, M.D., Hyun Joo Song, M.D., Min-Jung Kang, M.D., Ji Min Jung, M.D., Seong-Eun Kim, M.D., Ki-Nam Shim, M.D. and Kwon Yoo, M.D.
-
Korean J Gastrointest Endosc 2009;38(6):360-363. Published online June 30, 2009
-
-
-
Abstract
PDF
- Acquired ileal diverticuli are an uncommon condition and the diagnosis is often difficult when bleeding occurs from this source. Tuberculosis mainly involves the terminal ileum and has associated complications such as obstruction, perforation, stricture and bleeding, but rarely presents with pseudodiverticuli with a fistula. A 42-year-old man presented with massive hematochezia for three days. The patient had a history of pulmonary tuberculosis with complete recovery two times. Emergency sigmoidoscopy, esophagoduodenoscopy and computed tomography of the abdomen could not detect the bleeding focus. The next day, colonoscopy was performed, which demonstrated the opening of pseudodiverticuli at the terminal ileum. There was an exposed vessel in one of the pseudodiverticuli. The patient was treated successfully with epinephrine and ethanol sclerotherapy. A subsequent colonoscopy showed that the exposed vessel was completely healed seven days later. We report a case of acute pseudodiverticular bleeding from a tuberculous scar of the terminal ileum with a review of the relevant literature. (Korean J Gastrointest Endosc 2009;38:360-363)
-
A Case of Colon Cancer Coexisting with Colonic Tuberculosis and This Presented as Bowel Perforation
-
Chi Hun Kim, M.D., Hye Seung Han, M.D.*, Jeong Hwan Kim, M.D., Byeong Kuk Kim, M.D. and Seong Hwang Jang, M.D.†
-
Korean J Gastrointest Endosc 2009;38(5):270-274. Published online May 30, 2009
-
-
-
Abstract
PDF
- Tuberculosis can involve any part of the body and there are case reports of tuberculosis coexisting with malignancy in most body organs. However, cases of intestinal tuberculosis associated with colon cancer have rarely reported. Inflammatory bowel diseases can progress to malignant diseases due to mucosal dysplastic change. Similarly, intestinal tuberculosis can cause chronic inflammation, but the exact relationship between intestinal tuberculosis and colon cancer is currently obscure. A 71-year-old woman visited our hospital because of abrupt right lower abdominal pain that progressed to rebound tenderness and abdominal rigidity. Abdominal computed tomography showed a polypoid mass in the cecum and a distended terminal ileum. Right hemicolectomy was performed and the surgical specimen revealed extremely well differentiated adenocarcinoma combined with intestinal tuberculosis and bowel perforation in the cecum. We report here on a rare case of colon cancer coexisting with colonic tuberculosis and this presented as bowel perforation. We also include a review of the relevant literature. (Korean J Gastrointest Endosc 2009;38:270-274)
-
Anti-Tuberculosis Agents Induced Pseudomembranous Colitis Treated with Maintaining Anti-Tuberculosis Drugs
-
Myoung Lyeol Woo, M.D., Jae Hee Cho, M.D., Jeong Hun Kim, M.D., Myoung Hwan Kim, M.D., Hyuk Jin Kwon, M.D., Kil Sang Wang, M.D., Sang Yeop Yi, M.D.* and Hyeon Geun Cho, M.D.
-
Korean J Gastrointest Endosc 2009;38(1):47-51. Published online January 30, 2009
-
-
-
Abstract
PDF
- Tuberculosis is one of the main infectious health problems in Korea, and a combination of antibiotics is required to treat this illness. The combination therapy with rifampicin, isoniazid, ethambutol and pyrazinamide has many adverse reactions and there have been several case reports about pseudomembranous colitis (PMC) after anti- tuberculosis treatment. Rifampicin is regarded as a main cause of anti-tuberculosis induced PMC because of its bacteriocidal effect, and interruption of the offending drug, such as rifampicin, is usually necessary to treat the PMC. However, in patents with uncompensated tuberculosis, the discontinuance of anti-tuberculosis medication accentuates the disease severity, and continuance of the anti-tuberculosis medication is necessary to overcome the tuberculosis. We report here on a case in which the anti- tuberculosis agents induced PMC in 32 year old female who was diagnosed with active pulmonary tuberculosis. She was treated with maintenance of the anti-tuberculosis medication and also the addition of both oral metronidazole and probiotics. (Korean J Gastrointest Endosc 2009;38:47-51)
-
A Case of Colon Cancer Coexisting with Colonic Tuberculosis
-
Jae Myung Cha, M.D., Joung Il Lee, M.D., Jae Won Choe, M.D., Kwang Ro Joo, M.D.,Sung Won Jung, M.D., Hyun Phil Shin, M.D., Woo Young Hew, M.D. and Suk-Hwan Lee, M.D.*
-
Korean J Gastrointest Endosc 2008;37(5):369-373. Published online November 30, 2008
-
-
-
Abstract
PDF
- Patients with chronic inflammatory bowel disease have a potential risk for developing colorectal cancer. Simultaneous occurrence of tuberculosis and colon cancer at the same segment of the colon has been reported; however, there is little causal relationship between the two disorders. The occurrence of tuberculosis and an adenocarcinoma at the same segment of the colon may lead to a histological misdiagnosis of either lesion. Furthermore, it may be difficult to determine the correct radiological cancer staging before surgery, as tuberculous lymphadenitis may be misinterpreted as a lymph node metastasis of colon cancer. We report here a rare case of colon cancer coexisting with colonic tuberculosis at the same segment of the colon. In addition, we review the clinical characteristics of reported patients with similar conditions following a computerized search of KoreaMed and PubMed. (Korean J Gastrointest Endosc 2008;37:369-373)
-
A Case of Esophageal Tuberculosis as the Cause of a Fever of an Unknown Origin
-
Jae Myung Cha, M.D., Joung Il Lee, M.D., Jae Won Choe, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D. and Woo Young Hew, M.D.
-
Korean J Gastrointest Endosc 2008;37(5):335-338. Published online November 30, 2008
-
-
-
Abstract
PDF
- Fever of an unknown origin (FUO) means a fever that does not resolve spontaneously, and the cause remains elusive after an extensive diagnostic workup. The most common cause of FUO is infectious disease, and the most common infectious cause documented in Korea is tuberculosis, and particularly extrapulmonary or miliary tuberculosis. Among the extrapulmonary tuberculosis, esophageal tuberculosis is a very rare form of adult tuberculosis, and even in Korea with its high prevalence of tuberculosis. Esophageal tuberculosis can present as systemic symptoms such as weight loss, fever, chills and general weakness, or as local symptoms such as chest pain, dysphagia, cough and hematemesis. However, it can present as a prolonged fever of an unknown origin without any other symptoms. In this report, we describe a patient with esophageal tuberculosis, and the patient presented with a fever of unknown origin for 1 month. The patient was diagnosed by esophagogastroduodenoscopy with biopsy and he responded well to antituberculosis therapy. (Korean J Gastrointest Endosc 2008;37:335-338)
-
A Case of Febrile Colonic Tuberculosis that Became Defervescence after Colonoscopic Polypectomy
-
Seong Deuk Baek, M.D., Jung Hyun Lee, M.D., Jung Il Seo, M.D. and Chang Woo Lee, M.D.
-
Korean J Gastrointest Endosc 2008;36(1):31-35. Published online January 30, 2008
-
-
-
Abstract
PDF
- The clinical manifestations, radiological and endoscopic findings of colonic tuberculosis are non-specific. A diagnosis of colonic tuberculosis is usually difficult because the condition can mimic tumors. Fever occurs in 60∼85% of patients with tuberculosis, which is one of the important signs of disease activity, and usually resolves by the second week after beginning treatment. However, there are some patients who remain febrile beyond a reasonable treatment period or develop fever during treatment. Such cases raise issues, such as cytokine release from tuberculous granuloma, drug induced fever, drug resistance, and drug malabsorption. We encountered a patient with polypoid colonic tuberculosis who presented with prolonged fever after commencing treatment and became defervescence after a colonoscopic polypectomy. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2008;36:31-35)
-
Intestinal Tuberculosis with a Duodenal Fistula
-
Eun Bum Park, M.D., Yoon Tae Jeen, M.D., Jae Hong Ahn, M.D., Sang-jun Suh, M.D., Sun Jae Lee, M.D., Nark-Soon Park, M.D., Bora Keum, M.D., Yeon Seok Seo, M.D., Yong Sik Kim, M.D., Hoon Jai Chun, M.D., Hong Sik Lee, M.D., Soon Ho Um, M.D., Sang Woo Lee, M.
-
Korean J Gastrointest Endosc 2007;35(5):346-350. Published online November 30, 2007
-
-
-
Abstract
PDF
- Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis. A diagnosis of intestinal tuberculosis is difficult as the symptoms and laboratory findings are not specific for the disease. Intestinal tuberculosis may cause various complications, such as intestinal obstruction, intestinal perforation, intraabdominal abscess, intestinal hemorrhage and fistula formation. A duodenal fistula caused by tuberculosis is an especially rare condition. We experienced a case of intestinal tuberculosis with a duodenal fistula as a complication. The patient was a 25- year-old man that presented with weight loss and diarrhea. Esophagogastroduodenoscopy showed a deep ulcerative lesion on the third portion of the duodenum with a fistula opening. A histological finding revealed granulomatous inflammation with multinucleated giant cells. In addition, the result of a Tb PCR assay was positive. After two months of treatment with the appropriate medication, the symptoms improved and the fistula has closed completely. We report the case with a review of the literature. (Korean J Gastrointest Endosc 2007;35:346-350)
-
A Case of Surgical Treatment of Tuberculous Cholangitis and Lymphadenitis with Obstructive Jaundice due to Progressive Stricture of Bile Duct
-
Kil Hyun Kim, M.D., Yang Suh Ku, M.D., Koen Kuk Kim, M.D.*, Hyun Ok Kim, M.D., Geum Ha Kim, M.D., Kwang Il Ko, M.D., Nak So Chung, M.D., Sang Kyun Yu, M.D., Dong Kyun Park, M.D., Kwang An Kwon, M.D., Yeon Suk Kim, M.D., Yu Kyung Kim, M.D. and Ju Hyun Kim,
-
Korean J Gastrointest Endosc 2007;35(4):287-291. Published online October 30, 2007
-
-
-
Abstract
PDF
- Obstructive jaundice is most commonly attributed to a malignancy or stones affecting the common bile duct. Biliary tuberculosis and lymphadenitis around the periportal area have also been implicated but cases are quite rare. A 24 year old man presented with jaundice and abdominal pain for 3 days. Abdominal CT and ERCP revealed a stricture of the extrahepatic bile duct with multiple enlarged lymph nodes showing necrotic foci located at the periportal area. The colonoscopic biopsy showed evidence of M. tuberculosis. The patient was treated with ERBD insertion and oral anti-tuberculosis therapy. However, the abdominal pain recurred and there was progressive stenosis of the common bile duct. A bile duct resection with choledochojejunostomy was subsequently performed. Frozen sections revealed granulomatous inflammation with caseation necrosis, which was consistent with tuberculosis. We report a case of tuberculous cholangitis and lymphadenitis with obstructive jaundice that was managed surgically due to the progressive stricture of the bile duct. (Korean J Gastrointest Endosc 2007;35:287-291)
-
A Case of Pancreaticobiliary Duct Obstruction due to Pancreatic Tuberculosis Combined with a Colon Adenocarcinoma and Tuberculous Colitis
-
Lae Seok Hwang, M.D., Seong Woo Nam, M.D., Seong Eun Lee, M.D., Nak Hyun Kwon, M.D., Hyo Sung Kang, M.D., Sung Hoon Kim, M.D., Kee Suk Nam, M.D., Kyung Deuk Hong, M.D., Se Woon Ham, M.D., Young Woong Jeon, M.D.*, Se Hyuk Park, M.D.*, Sung Chan Jin, M.D.†,Hae Sun Ahn, M.D.‡
-
Korean J Gastrointest Endosc 2007;35(4):267-271. Published online October 30, 2007
-
-
-
Abstract
PDF
- Systemic manifestation of tuberculosis is common, but tuberculous biliary obstruction of the pancreas and a colon adenocarcinoma with combined colonic tuberculosis is an uncommon disorder. We encountered a case of the above condition in 63-year-old male that was admitted to our hospital because of fever, diffuse abdominal pain and rigidity. Abdominal computed tomography showed biliary and pancreatic duct dilatation with left colonic wall thickening and surrounding peritoneal infiltration. Emergency segmental resection of the descending colon with intraoperative T-tube choledochostomy was performed due to the colon mass and biliary obstruction. A colonofiberoscopy was performed for low abdominal pain and hematochezia at 12 days after surgery. It showed multiple colonic ulcerations with a partial stricture. A colonic biopsy showed granulomatous inflammation with acid-fast bacilli. The cause of the biliary obstruction was also revealed as pancreatic tuberculosis by an intraoperative pancreatic and mesenteric biopsy. The patient improved after antituberculous treatment and the patient has been in good health until the last outpatient follow-up visit. (Korean J Gastrointest Endosc 2007;35:267-271)
-
A Case of Tuberculosis of the Esophagus and Duodenum Associated with Pulmonary Tuberculosis
-
Seok Jin Kang, M.D., Tae Hyo Kim, M.D., Won Hyun Lee, M.D., Seung Suk You, M.D., Jong Ha, M.D., Sun Pil Choi, M.D., Dong O Kang, M.D., In Gye Bae, M.D., Hyun Jin Kim, M.D. and Ok Jae Lee, M.D.
-
Korean J Gastrointest Endosc 2007;35(3):165-169. Published online September 30, 2007
-
-
-
Abstract
PDF
- Esophageal and duodenal tuberculosis are rare form of gastrointestinal tuberculosis. The common complications due to esophageal and duodenal tuberculosis are fistulous communications with the adjacent structures, perforation, obstruction, and upper gastrointestinal bleeding. Massive bleeding in esophageal and duodenal tuberculosis is quite rare. We encountered a case of a 55-year-old male who presented with hematemesis and melena. Esophageal and Duodenal tuberculosis with a duodenal fistula was diagnosed by an endoscopic and radiology examination. He improved after treatment with anti-tuberculosis medication over a 9 month period. We report this case of esophageal and duodenal tuberculosis associated with pulmonary tuberculosis with a review of the relevant literature. (Korean J Gastrointest Endosc 2007;35:165-169)
-
A Case of Esophageal Tuberculous Abscess
-
Jong Hwan Park, M.D., Hwa Mi Kang, M.D., Min Woong Kim, M.D., Chi Hoon Kim, M.D., Ji Hoon Yoon, M.D., Hyung Wook Kim, M.D., Seung Keun Park, M.D., Hee Ug Park, M.D. and Jong Han Ok, M.D.
-
Korean J Gastrointest Endosc 2005;31(4):252-256. Published online October 30, 2005
-
-
-
Abstract
PDF
- Primary esophageal involvement by tuberculosis is rare. Clinical symptoms are variable and nonspecific in which dysphagia is the most common presenting symptom. Endoscopic findings are also diverse and nonspecific and ulcerative form is a common manifestation. For a definite diagnosis, Endoscopic biopsies are useful but typical granuloma is seen in approximately 50% of cases and acid-fast bacilli are demonstrated in less than 25% of patients. Fine needle aspiration cytology and polymerase chain reaction are helpful for diagnosis. A 54-year-old man was presented with throat discomport. Endoscopy demonstrated hematoma like lesion with pus discharge from ulceration in the proximal esophagus. Esophageal tuberculosis was confirmed based on the biopsy and culture results, and he was treated with antituberculous medications. At the follow-up endoscopy, 6 months later, previous lesion was completely healed to scar. (Korean J Gastrointest Endosc 2005;31:252256)
-
Choledocho-duodenal Fistula Caused by Tuberculosis
-
Sang Jeong Yoon, M.D., Byung Min John, M.D., Sung Hee Jung, M.D., Anna Kim, M.D., Byeong Seong Ko, M.D., Hyeon Woong Yang, M.D., Young Sook Park, M.D., Hoon Go, M.D., Gi Young Choi, M.D., Jun Hyoung Kim, M.D., Jae Min Lee, M.D., Hyo Jung Nam, M.D. and Soo
-
Korean J Gastrointest Endosc 2005;30(5):286-288. Published online May 30, 2005
-
-
-
Abstract
PDF
- Choledocho-duodenal fistula is a rare condition. It is usually developed as a complication of the gallstone disease, and rarely developed by penetrating peptic ulcer, trauma and neoplasm. Tuberculosis as a etiology of choledocho-duodenal fistula is very rare, and only a few cases were reported. We experienced a case of choledocho-duodenal fistula due to tuberculous lymphadenitis in a 26 year-old man presented with epigastric pain. After 6 months of anti-tuberculous medication, He was free of symptom and the fistula was closed spontaneously. We report the case with a review of literatures. (Korean J Gastrointest Endosc 2005;30:286289)
-
A Case of Colonic Tuberculosis Presenting as Massive Bleeding
-
Kyung Young Namgung, M.D., Myung Jin Kang, M.D., Hong Mok Im, M.D., Mi Sung Kim, M.D., Byung Sung Ko, M.D., Hyun Taek Ahn, M.D. and Hyang Mi Shin, M.D.*
-
Korean J Gastrointest Endosc 2005;30(3):164-167. Published online March 31, 2005
-
-
-
Abstract
PDF
- Tuberculous involvement of the colon is an uncommon clinical entity. Other colonic disease which should be considered in the differential diagnosis include inflammatory bowel disease such as Crohn's disease, ulcerative colitis and colon cancer. Intestinal tuberculosis most frequently involves the ileocecal area. The common presenting symptoms are abdominal pain, fever, weight loss and malabsorption. Pathologically, tuberculous colitis may present as an ulcerative type, hypertrophic type or in combination. Massive bleeding is said to be very rare even in the ulcerative type because of an obliterative endarteritis. We report a case of colonic tuberculosis presenting with massive bleeding in 52-year-old man with alcoholic liver cirrhosis, which was diagnosed by colonoscopic biopsy and acid-fast stain. (Korean J Gastrointest Endosc 2005;30:164167)
-
Three Cases of Secondary Esophageal Tuberculosis Presenting as an Esophageal Submucosal Tumor
-
Sung Woo Choi, M.D., Hyojin Park, M.D., Sang Bae Lee, M.D., Jun Pyo Chung, M.D., Sang In Lee, M.D. and Soon Won Hong, M.D.*
-
Korean J Gastrointest Endosc 2005;30(2):80-85. Published online February 27, 2005
-
-
-
Abstract
PDF
- Although esophageal tuberculosis is a rare disease throughout the world, esophageal tuberculosis should be included as one of differential diagnosis made in Korea where the prevalence of tuberculosis is still high. Esophageal tuberculosis might be mistaken for carcinoma due to lack of specific symptom, diagnostic study or pathologic diagnosis in clinical setting. The diagnosis would be difficult when esophageal ulcerative lesions or submucosal tumor are present, especially. When the result after a biopsy is not confirmative, the diagnosis can be made with the detection of mycobacteria by microbiologic study or polymerase chain reaction. We experienced three patients with esophageal tuberculosis; a 41-year-old woman with dysphagia, a 34-year-old woman with dysphagia and odynophagia, and a 52-year-old woman with epigastric pain. Esophageal submucosal tumors were found in all the patients with upper gastrointestinal endoscopy. The diagnosis of tuberculosis were finally made by removal of tumor and biopsy or tuberculosis polymerase chain reaction. They all got improved after the treatement with anti-tuberculosis medications. Herein, we report 3 cases of esophageal tuberculosis with review of related literatures. (Korean J Gastrointest Endosc 2005;30:8085)
-
A Case of Diffuse Infiltrative Colon Cancer Coexisting with Colonic Tuberculosis
-
Chang Yoon Ha, M.D., Hye-Kyung Jung, M.D., Jung Hwa Ryu, M.D., Hae Sun Jung, M.D., Gun Woo Pyun, M.D., Doe Young Kim, M.D., Il Hwan Moon, M.D. and Min-Sun Cho, M.D.*
-
Korean J Gastrointest Endosc 2004;29(6):524-528. Published online December 30, 2004
-
-
-
Abstract
PDF
- Inflammatory bowel disease has a potential risk of developing colorectal cancer. However, there is little causal relationship between intestinal tuberculosis and colon cancer because intestinal tuberculosis is curable disease and has relatively short disease course. But there were a few case reports of intestinal tuberculosis associated with colon cancer. Diffuse infiltrating colon cancer, characterized by tumor cells in the presence of inflammatory changes with much fibrosis, is very rare in the colon. We experienced a 49-year-old woman who had tuberculous colitis combined with diffuse infiltrative colon cancer. She visited our hospital because of chronic diarrhea and abdominal pain. Colonoscopy showed multiple geographic ulcers in the transverse colon and partial intestinal obstruction. Histological examination revealed non-caseating granuloma and Mycobacterium tuberculosis was cultured in biopsied tissue. She took an anti- tuberculosis drug for 2 weeks, but her symptoms were aggravated. Therefore, extended right hemicolectomy was performed and revealed mucin-secreting, diffuse infiltrating adenocarcinoma. Herein, we report a rare case of diffuse infiltrative colon cancer coexisting with colonic tuberculosis with a review of liferatures. (Korean J Gastrointest Endosc 2004;29:524528)
-
A Case of Tuberculosis Affecting Stomach and Duodenum Simultaneously, Mimicking Malignant Tumor
-
Hye Young Choi, M.D., Jung Whan Lee, M.D., Jong Sung Lee, M.D., Young Kwan Kim, M.D., Jin-Ho Lee, M.D., Il Kim, M.D., Soo Hyung Ryu, M.D., You Sun Kim, M.D., Jeong Seop Moon, M.D. and Hye Kyung Lee M.D*.
-
Korean J Gastrointest Endosc 2004;29(3):142-146. Published online September 30, 2004
-
-
-
Abstract
PDF
- Gastrointestinal tuberculosis has steadily decreased with the development of anti-tuberculous treatment, improvement of personal hygiene resulting from a rise in the standard of living, early diagnosis of pulmonary tuberculosis, and so forth. However, gastrointestinal tuberculosis can occasionally be found clinically in South Korea where the prevalence of tuberculosis is as much as 2.2%. Prevalence of gastric tuberculosis is low, compared with other gastrointestinal tuberculosis. While there have recently been several reports on the occurrence of gastric tuberculosis and duodenal tuberculosis assuming the form of malignancy, few cases have been reported of the tuberculosis affecting stomach and duodenum simultaneously. In this article we report the case in which tuberculosis affects both stomach and duodenum, which was initially misconceived as a double primary cancer. (Korean J Gastrointest Endosc 2004;29:142146)
-
A Case of Duodenal Fistula Caused by Intestinal Tuberculosis
-
Du Young Kwon, M.D., Hea Won Park, M.D., Sang Hyuck Seo, M.D., Byung Kuk Jang, M.D., Jun Young Hwang, M.D., Jung Min Lee, M.D., Yun Seok Hong, M.D., Kyung Sik Park, M.D., Kwang Bum Cho, M.D., Jae Seok Hwang, M.D. and Sung Hoon Ahn, M.D.
-
Korean J Gastrointest Endosc 2004;28(3):131-135. Published online March 31, 2004
-
-
-
Abstract
PDF
- Intestinal hemorrhage, fistula formation, and intestinal obstruction are the common complications associated with intestinal tuberculosis. However, duodenal fistula due to intestinal tuberculosis is very rare. We experienced a case of 26-year-old woman with a fistula in the duodenum referred to our hospital due to abdominal pain. Esophagogastroduodenoscopy showed a fistula at the duodenum with lymph node. After 2 months of anti-tuberculous medication, abdominal pain was improved and fistula size decreased. We report a case of fistula caused by duodenal tuberculosis. (Korean J Gastrointest Endosc 2004;28:131135)