A case report of atypical crohn's disease diagnosed by endoscopic ultrasonography

作者:Zhou, Fei; Liu, Zhengjin; Ye, Zhenshi; Hu, Yiqun*
来源:International Journal of Clinical and Experimental Medicine, 2016, 9(10): 20362-20366.

摘要

Crohn's disease is a type of inflammatory bowel disease that is difficult to differentiate from lymphoma or intestinal tuberculosis in clinic. Endoscopic ultrasonography (EUS) has advantages in distinguish the gastrointestinal cavity wall layers structure and adjacent tissues, so EUS can be well applied to diagnose gastrointestinal diseases. Now we report a case. A 27 years old female was admitted to hospital for diarrhea, and fever and night sweating. The colonoscopy, positron emission tomography-computed tomography (PET-CT) and biopsy did not help us to make a definite diagnosis. However, based on the patient's history, physical characteristics, via EUS, Crohn's disease was diagnosed. This reminds that EUS can be widely applied in inflammatory bowel disease.