Tuberculosis of Stomach, Ileum and Colon: Report of a Case

胃，迴腸，結腸結核症：一病例報告

黃逸仁(Yi-Jen Huang) ； 許博翔(Bor-Shyang Sheu) ； 楊曉白(Hsiao-Bai Yang) ； 陳炯瑜(Chiung-Yu Chen) ； 張定宗(Ting-Tsung Chang) ； 林錫璋(Xi-Zhang Lin)

《中華民國消化系醫學雜誌》 14卷2期 (1997/06) Pp. 204-210

https://doi.org/10.6557/GJTb.199706_14(2).0003

摘要

我們在此報告一病例，一42歲中年女性，罹患胃，迴腸末端及結腸結核症。她因持續腹部絞痛及迴腸間歇性的狹窄，被誤診為克隆氏症，而接受右側半結腸切除及迴腸造口術，但一年後，她因吐血而作胃鏡，發現胃潰瘍，切片檢查，疑為結核症，經過仔細判讀，她的胃及以前切除之迴腸，結腸組織，胃腸結核症終被確定。她接受抗結核藥，胃潰瘍癒合良好。

關鍵字

胃結核症 ； 迴腸結核症 ； 結腸結核症

並列摘要

Gastrointestinal tuberculosis is uncommon, especially when it occurs in the stomach, ileum and colon. We report a 42-year-old female native, whom had tuberculosis involving the stomach, terminal ileum and colon. She was initially misdiagnosed as Crohn's disease. Because of persistent abdominal cramping pain, and segmental narrowing of the ileum on barium study, she received an extended right hemicolectomy and ileostomy. She presented with hematemesis one year later. Panendoscopy and biopsy were performed. Tuberculosis of stomach was suspected. After reviewing the previous resected specimen, the diagnosis was revised as tuberculosis involving the stomach, terminal ileum and colon. After anti-tuberculosis (TB) treatment, her initial gastric ulcer resolved.

並列關鍵字

gastric tuberculosis ； ileal tuberculosis ； colonic tuberculosis