Abstract
Endoscopy is an important tool for diagnosing inflammatory bowel disease (IBD). It is well known that various types of infectious colitis, such as tuberculosis, mimic Crohn’s disease (CD). A broad differential diagnosis is important because IBD is a diagnosis of exclusion. On the other hand, some cases need different viewpoints in order to make the correct diagnosis. Here we present cases where the diagnoses were elusive. The first case was a very early case of ulcerative colitis (UC). The lesions did not show a typical distribution for UC. However, eventually, typical symptoms and endoscopic appearance were observed, confirming the diagnosis. The second case revealed lesions only in the upper jejunum. Capsule endoscopy and balloon-assisted enteroscopy revealed the typical appearance of CD; however, the distribution of the lesions was not typical. It took a long time to make the diagnosis. The third case involved recurrent obstruction. Mucosal healing was achieved; however, stenosis of the ileocecal valve resulted in surgery. Concomitant use of NSAIDs induced membranous stenosis, and therefore, endoscopic balloon dilation was performed.
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Ohtsuka, K. (2018). Difficulty in Diagnosing Inflammatory Bowel Disease: A Case Study. In: Hibi, T., Hisamatsu, T., Kobayashi, T. (eds) Advances in Endoscopy in Inflammatory Bowel Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56018-0_14
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DOI: https://doi.org/10.1007/978-4-431-56018-0_14
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