Abstract
Introduction Intestinal tuberculosis (ITB) presents with clinical features that often mimic malignant
or inflammatory diseases. Diagnosis is established through a combination of endoscopic,
radiological, and pathological findings.
Case A 76-year-old woman presented with acute, diffuse abdominal pain. Computed tomography
(CT) of the abdomen revealed subocclusion due to wall thickening at the ileocecal
transition. A colonoscopy biopsy showed ulcerated granulomatous lesions, with negative
results for AFB. Enterography suggested the possibility of a neoplastic disease. Due
to the subocclusion, the patient underwent a segmental right ileocolectomy and ileocolostomy
with a double-barrel stoma. Histopathological analysis of the resected specimen, including
frozen section examination, confirmed ITB.
Conclusion The diagnosis of ITB is challenging due to its clinical, endoscopic, radiologic,
and histopathologic features, which overlap with neoplasms and inflammatory bowel
disease. Therefore, establishing an appropriate therapeutic approach requires the
integration of multiple diagnostic findings.
Keywords
intestinal tuberculosis - inflammatory bowel disease - colectomy
Bibliographical Record
Thaís Tuasca Jareño, Bruno Salgueiro Russo, Lucas Moreto Betini, Isadora Pêsso, Vitória
Giordano, Fang Chia Bin. Differential Diagnosis for Intestinal Tuberculosis in Elder
Patient – Case Report. Journal of Coloproctology 2025; 45: s00451804899.
DOI: 10.1055/s-0045-1804899
