曾被误诊为肠结核的克罗恩病并发回盲部肿块:病例报告。

IF 0.5 4区 医学 Q3 Medicine Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI:10.31729/jnma.8534
Shriya Sharma, Pasang Sherpa, Ganesh Giri
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引用次数: 0

摘要

在东南亚,肠结核(TB)的发病率较高,由于两者症状重叠,给克罗恩病(CD)的诊断带来了挑战。本病例中,一名25岁的男性因腹痛、体重减轻和肠道溃疡被误诊为肠结核。抗结核治疗后复发,进一步检查发现右半结肠切除术和组织病理分析证实为克罗恩病。该病例凸显了在结核病流行地区诊断克罗恩病的复杂性,强调了临床的重要性、先进的诊断工具以及有效干预的多学科方法。
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Crohn's Disease Previously Mistreated as Intestinal Tuberculosis Complicated with Ileocecal Lump: A Case Report.

In Southeast Asia, the higher prevalence of Intestinal tuberculosis (TB) challenges the diagnosis of Crohn's disease (CD) due to their overlapping symptoms. This case involves a 25-year-old male misdiagnosed with Intestinal tuberculosis presenting with abdominal pain, weight loss, and bowel ulceration. Recurrence after anti-tubercular therapy led to further investigation paving to right hemicolectomy and histopathological analysis confirming Crohn's disease. This case highlights the complexity of the diagnosis of Crohn's disease in tuberculosis-prevalent areas, stressing the clinical importance, advanced diagnostics tools, and multidisciplinary approach for effective intervention.

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来源期刊
Journal of Nepal Medical Association
Journal of Nepal Medical Association PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICINE, GENERAL & INTERNAL
CiteScore
1.00
自引率
0.00%
发文量
233
审稿时长
>12 weeks
期刊介绍: Journal of Nepal Medical Association is an internationally peer-reviewed, MedLine/PubMed indexed, a monthly general medical journal published by Nepal Medical Association. JNMA is the first and oldest medical journal from Nepal since 1963 AD.
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