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Crohn's Disease in a Nigerian

Crohn's Disease in a Nigerian Abstract • We recently examined a Nigerian with regional enteritis in whom the main lesion was located in the ascending colon. The diagnosis of Crohn's disease was established only on histological grounds. In countries like Nigeria where conditions such as tuberculosis, parasitic infestations, intestinal lymphomas, and ischemic strictures of the intestine are relatively common, the clinical and/or radiological diagnosis of nonspecific inflammatory lesions of the intestine may be extremely difficult, particularly when the clinical features of these conditions are not unlike those of Crohn's disease. (Arch Surg 1982;117:957-959) References 1. Monk M, Mendeloff AI, Siegel CI, et al: An epidemiological study of ulcerative colitis and regional enteritis among adults in Baltimore: I Hospital incidence and prevalence, 1960-1963 . Gastroenterology 1967;53:198-210. 2. Kibya AK: Possible case of Crohn's disease in a Ruanda native . E Afr Med J 1946;23:317-320. 3. Giraud RMA, Luke I, Schmaman A: Crohn's disease in the Transvaal Bantu . S Afr Med J 1969;43:610-613. 4. Dyer NH, Dawson AM: Diagnosis of Crohn's disease: A continuing source of error . Br Med J 1970;1:735-737.Crossref 5. Francis TI: Abdominal tuberculosis in Nigerians—a clinicopathological study . Trop Geogr Med 1972;24:232-239. 6. Anand SS: Hypertrophic ileocaecal tuberculosis in India, with a record of 50 hemicolectomies . Ann R Coll Surg Engl 1956;19:205-222. 7. Bentley G, Webster JHH: Gastrointestinal tuberculosis . Br J Surg 1966;54:90-96.Crossref 8. Heaton KW, Cornes JS, Read AE: Diffuse reticulum cell sarcoma of the gastrointestinal tract: A problem in diagnosis . Gut 1966;7:453-457.Crossref 9. Mabogunje OA, Subbuswamy SG, Lawrie JH: Rectal polyps in Zaria, Nigeria . Dis Colon Rectum 1978;21:474-479.Crossref 10. Subbuswamy SG, Iweze FI: Ischaemic strictures of the small intestine in Nigeria . Gut 1977;18:266-273.Crossref 11. Khwaja MS, Subbuswamy SG, Lawrie JH: Ischaemic strictures of the small intestine in Northern Nigeria. Am J Surg, to be published. 12. Lennard-Jones JE, Lokhart-Mummery HE, Morson BC: Clinical and pathological differentiation of Crohn's disease and proctocolitis . Gastroenterology 1968;54:1162-1170. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1982.01380310063015
Publisher site
See Article on Publisher Site

Abstract

Abstract • We recently examined a Nigerian with regional enteritis in whom the main lesion was located in the ascending colon. The diagnosis of Crohn's disease was established only on histological grounds. In countries like Nigeria where conditions such as tuberculosis, parasitic infestations, intestinal lymphomas, and ischemic strictures of the intestine are relatively common, the clinical and/or radiological diagnosis of nonspecific inflammatory lesions of the intestine may be extremely difficult, particularly when the clinical features of these conditions are not unlike those of Crohn's disease. (Arch Surg 1982;117:957-959) References 1. Monk M, Mendeloff AI, Siegel CI, et al: An epidemiological study of ulcerative colitis and regional enteritis among adults in Baltimore: I Hospital incidence and prevalence, 1960-1963 . Gastroenterology 1967;53:198-210. 2. Kibya AK: Possible case of Crohn's disease in a Ruanda native . E Afr Med J 1946;23:317-320. 3. Giraud RMA, Luke I, Schmaman A: Crohn's disease in the Transvaal Bantu . S Afr Med J 1969;43:610-613. 4. Dyer NH, Dawson AM: Diagnosis of Crohn's disease: A continuing source of error . Br Med J 1970;1:735-737.Crossref 5. Francis TI: Abdominal tuberculosis in Nigerians—a clinicopathological study . Trop Geogr Med 1972;24:232-239. 6. Anand SS: Hypertrophic ileocaecal tuberculosis in India, with a record of 50 hemicolectomies . Ann R Coll Surg Engl 1956;19:205-222. 7. Bentley G, Webster JHH: Gastrointestinal tuberculosis . Br J Surg 1966;54:90-96.Crossref 8. Heaton KW, Cornes JS, Read AE: Diffuse reticulum cell sarcoma of the gastrointestinal tract: A problem in diagnosis . Gut 1966;7:453-457.Crossref 9. Mabogunje OA, Subbuswamy SG, Lawrie JH: Rectal polyps in Zaria, Nigeria . Dis Colon Rectum 1978;21:474-479.Crossref 10. Subbuswamy SG, Iweze FI: Ischaemic strictures of the small intestine in Nigeria . Gut 1977;18:266-273.Crossref 11. Khwaja MS, Subbuswamy SG, Lawrie JH: Ischaemic strictures of the small intestine in Northern Nigeria. Am J Surg, to be published. 12. Lennard-Jones JE, Lokhart-Mummery HE, Morson BC: Clinical and pathological differentiation of Crohn's disease and proctocolitis . Gastroenterology 1968;54:1162-1170.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1982

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