Mycobacterium Avium Infection in A Patient Presenting with Small Bowel Feces Sign: Report of A Case

以小腸糞便徵象表現的小腸鳥型結核菌感染：一病例報告

李少武(Shou-Wu Lee) ； 連漢仲(Han-Chung Lien) ； 李騰裕(Teng-Yu Lee) ； 葉宏仁(Hong-Zen Yeh) ； 楊勝舜(Sheng-Shun Yang) ； 張繼森(Chi-Sen Chang)

《臺灣消化醫學雜誌》 29卷3期 (2012/09) Pp. 288-291

https://doi.org/10.6557/GJT.201209_29(3).0003

摘要

一位62歲女性病患因為反覆下腹部疼痛而就醫，腹部X光與電腦斷層檢查發現迴腸末端堵塞，且呈現小腸糞便徵象（small bowel feces sign）。大腸鏡檢查結果發現迴腸末端發炎，黏膜切片在兩星期後長出鳥型結核菌（Mycobacterium avium）。病人經過支持性治療後病情逐漸改善。非結核分枝桿菌感染所引發的小腸堵塞並非常見，對於疾病病情與治療方法需要進一步的研究探討。

關鍵字

鳥型結核菌 ； 非結核分枝桿菌 ； 小腸堵塞

並列摘要

A 62-year-old woman with history of recurrent lower abdominal pain and small bowel obstruction underwent KUB and computed tomography which revealed small bowel feces sign with obstructive level at terminal ileum. Examination by colonoscopy found enteritis at terminal ileum and the culture grew Mycobacterium avium, a nontuberculous mycobacteria (NTM), two weeks later. The patient was kept under observation and her symptoms subsided gradually. She was discharged without receiving anti-tuberculosis drugs. Clinicians should be aware of the possibility of NTM enteritis in the evaluation of undetermined small bowel obstruction, and that further investigation may be warranted in such cases.

並列關鍵字

Mycobacterium avium ； non-tuberculous mycobacteria ； small bowel obstruction