Intestinal Tuberculosis with a Duodenal Fistula / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 346-350, 2007.
Artigo
em Coreano
| WPRIM
| ID: wpr-224558
ABSTRACT
Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis. A diagnosis of intestinal tuberculosis is difficult as the symptoms and laboratory findings are not specific for the disease. Intestinal tuberculosis may cause various complications, such as intestinal obstruction, intestinal perforation, intraabdominal abscess, intestinal hemorrhage and fistula formation. A duodenal fistula caused by tuberculosis is an especially rare condition. We experienced a case of intestinal tuberculosis with a duodenal fistula as a complication. The patient was a 25-year-old man that presented with weight loss and diarrhea. Esophagogastroduodenoscopy showed a deep ulcerative lesion on the third portion of the duodenum with a fistula opening. A histological finding revealed granulomatous inflammation with multinucleated giant cells. In addition, the result of a Tb PCR assay was positive. After two months of treatment with the appropriate medication, the symptoms improved and the fistula has closed completely. We report the case with a review of the literature.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tuberculose
/
Úlcera
/
Redução de Peso
/
Células Gigantes
/
Reação em Cadeia da Polimerase
/
Endoscopia do Sistema Digestório
/
Diagnóstico
/
Diarreia
/
Abscesso
/
Duodeno
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2007
Tipo de documento:
Artigo
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