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KMID : 0816119990020020245
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Korean Journal of Pediatric Gastroenterolology and Nutrition
1999 Volume.2 No. 2 p.245 ~ p.249
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A Case of Intestinal Tuberculosis Diagnosed by Colonoscopy
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Bae Sang-Young
Nam Seung-Yeon
Lee Sun-Wha
Seo Jung-Wan
Jung Ji-A
Park Sun-Joo
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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.
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KEYWORD
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Intestinal tuberculosis, Colonoscopy,
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