Hépato-Gastro & Oncologie Digestive
MENUTerminal ileitis Volume 19, issue 8, Octobre 2012
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Hôpital Beaujon,
Pôle des maladies de l’appareil digestif,
Service de gastroentérologie, MICI et Assistance Nutritive
- Key words: Ileitis, Crohn's disease, yersinia, tuberculosis, MRI
- DOI : 10.1684/hpg.2012.0784
- Page(s) : 695-700
- Published in: 2012
An acute terminal ileitis, often diagnosed as appendicitis, is mainly caused by infections, or Crohn's disease. In many cases, the episode spontaneously heals or after a single course of antibiotic. The distinction between Crohn's disease and ileocaecal tuberculosis might be difficult. In case of Crohn's chronic terminal ileitis, the guidelines are discussed. Entero-MRI is currently the best tool to guide the therapeutical choice between intensification of medical treatment and endoscopic or surgical intervention.