the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: May 2004

the GASTROLAB Old Quiz

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The Old Endoscopy Quiz (and Answer) of the Month
May 2004

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Question:

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This lady in her late middle age had suffered from fever and a sligth diarrhea for several months. Her erythrocyte sedimentation rate was very high. This is the only positive finding in an extensive work-up, these colonoscopic images show the caecal region. The fourth image shows the ileocaecal valve. This disease, quite easily cured by medical treatment - what is it? And, no - it is not Crohns disease!

Answer

    Caecal Tuberculosis

    This was not an easy case and in the Scandinavian countries this disease is quite rare nowadays. Other infections, such as yersinia enterocolitis, could have been a possible diagnosis. One would suppose that a yersinia infection should have resolved during the months she had suffered from this disease, and during which time she had received several antibiotic treatments.

Correct answers and comments were emailed by

    pasicfuad, Tuzla, Bosnia
    Mansour Al Shehadat, Damascus, SYRIA
    jaber badran, dair azzor, Syria
    prakash zacharias, Calicut, Kerala , India
    AISSAOUI LOTFI, ARAR, SAUDIA ARABIA
    Dr.ARBER F.Veliu, Prishtina, Kosova
    ALTIN CEKODHIMA, TIRANA, ALBANIA

Pigeon Rocks, Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon
    Salvatore Della Ducata, Gallipoli, Italy

    Comments:

      So, many congratulations to You who on these few clincial facts and some colonoscopic images were able to find out the correct diagnosis!