Copyright
©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Jan 28, 2011; 17(4): 433-443
Published online Jan 28, 2011. doi: 10.3748/wjg.v17.i4.433
Published online Jan 28, 2011. doi: 10.3748/wjg.v17.i4.433
Table 1 Computed tomographic features of intestinal tuberculosis and Crohn’s disease
| Tuberculosis | Crohn’s disease |
| Mural thickening without stratification | Mural thickening with stratification in active inflammation |
| Strictures concentric | Strictures eccentric |
| Fibrofatty proliferation of mesentery very rare | Fibrofatty proliferation of mesentery |
| Mesenteric inflammation but no vascular engorgement | Hypervascular mesentery (comb sign) |
| Hypodense lymph nodes with peripheral enhancement | Mild lymphadenopathy |
| High density ascites | Abscesses |
Table 2 Clinical parameters and operative findings of 68 surgical patients with Crohn’s and 41 patients with intestinal tuberculosis n (%)
| Parameter | Crohn’s disease (n = 68) | Intestinal Tuberculosis (n = 41) | P value1 |
| Clinical parameters | |||
| Male:female | 38:30 | 28:13 | NS |
| Mean age (yr) | 31.2 (16-52) | 36.8 (23-64) | NS |
| Fever | 17 (25) | 28 (68) | < 0.010 |
| Pain | 50 (73) | 26 (63) | NS |
| Altered bowel habits | 46 (67) | 14 (34) | < 0.001 |
| Fistula in ano | 7 (12) | 1 (2.4) | NS |
| Anemia | 34 (50) | 28 (68) | NS |
| Edema | 22 (32) | 14 (34) | NS |
| Growth retardation | 14 (20) | 4 (9.7) | NS |
| Treated as tuberculosis | 18 (26) | 8 (19) | NS |
| Pulmonary involvement | 6 (8.2) | 14 (34) | < 0.010 |
| Abdominal distension | 18 (26) | 19 (46) | < 0.050 |
| Abdominal lump | 7 (12) | 8 (19) | NS |
| Recurrent intestinal obstruction | 40 (59) | 14 (34) | < 0.020 |
| Operative findings | |||
| Peritoneal nodules | 15 (22) | 32 (78) | < 0.001 |
| Ascites | 19 (27) | 28 (68) | < 0.001 |
| Nodules over bowel/mesentery | 14 (20) | 14 (34) | NS |
| Site of involvement: | |||
| Diffuse small bowel | 22 (32) | 6 (14.6) | < 0.050 |
| Jejunum | 14 (20) | 6 (14.6) | NS |
| Ileum | 44 (64) | 32 (78) | NS |
| Colon | 6 (8.8) | 2 (4.8) | NS |
| Small bowel and colon | 18 (26) | 3 (7.3) | < 0.020 |
| Multiple strictures | 44 (64) | 4 (9.7) | < 0.001 |
| Skip lesions | 17 (25) | 4 (9.7) | NS |
| Internal fistula | 14 (20) | 1 (2.4) | < 0.01 |
| Mesenteric fat creeping | 44 (64) | 28 (51) | NS |
| Shortened mesentery | 18 (26) | 14 (34) | NS |
| Aphthoid ulcers | 32 (47) | 15 (36) | NS |
| Deep linear ulcers | 40 (59) | 8 (19) | < 0.001 |
| Cobblestone appearance | 44 (64) | 7 (17) | < 0.001 |
| Stricture | 40 (59) | 18 (44) | NS |
- Citation: Pulimood AB, Amarapurkar DN, Ghoshal U, Phillip M, Pai CG, Reddy DN, Nagi B, Ramakrishna BS. Differentiation of Crohn’s disease from intestinal tuberculosis in India in 2010. World J Gastroenterol 2011; 17(4): 433-443
- URL: https://www.wjgnet.com/1007-9327/full/v17/i4/433.htm
- DOI: https://dx.doi.org/10.3748/wjg.v17.i4.433