Differentiation of Crohn&rsquo;s disease from intestinal tuberculosis in India in 2010

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Jan 28, 2011 (publication date) through Nov 3, 2025

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 28, 2011; 17(4): 433-443
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

¹P value: by χ². NS: Not significant.

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