Intestinal Tuberculosis with a Duodenal Fistula / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 346-350, 2007.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-224558
Responsible library:
WPRO
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.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Diarrhea
/
Neglected Diseases
/
Tuberculosis
/
Diarrhoeal Infections
/
Tuberculosis
Database:
WPRIM (Western Pacific)
Main subject:
Tuberculosis
/
Ulcer
/
Weight Loss
/
Giant Cells
/
Polymerase Chain Reaction
/
Endoscopy, Digestive System
/
Diagnosis
/
Diarrhea
/
Abscess
/
Duodenum
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2007
Document type:
Article