结肠结核1例。

IF 2.4 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Future Science OA Pub Date : 2022-12-01 DOI:10.2144/fsoa-2022-0056
Ghada Gharbi, Moufida Mahmoudi, Manel Yakoubi, Asma Ben Mohamed, Amal Khsiba, Mohamed Karim M'Farrej, Mahdi Bouassida, Emna Chelbi, Lamine Hamzaoui
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引用次数: 1

摘要

目的:结肠结核是罕见的。它占腹部结核的2-3%。临床、放射学和内镜特征无特异性。诊断必须考虑在慢性腹痛,脓热和体重减轻前结肠镜检查结节或溃疡的存在。诊断是根据病理结果作出的。病例报告:我们报告一例82岁女性患者诊断为结肠结核。临床表现:慢性腹痛、发热、体重减轻,怀疑诊断。结肠镜检查显示左结肠粘膜和乙状结肠粘膜结节状,病理检查显示多个活检标本呈上皮样和巨细胞肉芽肿伴干酪样坏死。结论:在非特异性临床和内镜方面,多次结肠活检是排除鉴别诊断和确认结肠结核的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Colonic tuberculosis: a case report.

Aim: Colonic tuberculosis is rare. It accounts for 2-3% of abdominal tuberculosis. Clinical, radiological and endoscopic features are nonspecific. The diagnosis must be considered in front of chronic abdominal pain, vesperal fever and weight loss with on colonoscopy the presence of nodules or ulcers. The diagnosis is made on pathological findings.

Case report: We report a case of an 82-year-old female patient with the diagnosis of colonic tuberculosis. The diagnosis were suspected on clinical presentation: chronic abdominal pain, fever and weight loss. The colonoscopy showed a nodular aspect of the left and sigmoid colonic mucosa and the pathology examination of the multiple biopsy specimens showed an epithelioid and gigantocellular granulomas with caseous necrosis.

Conclusion: In front of a nonspecific clinical and endoscopic aspects, multiples colonic biopsies are mandatory to rule out differential diagnosis and confirm colonic tuberculosis.

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来源期刊
Future Science OA
Future Science OA MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.00
自引率
4.00%
发文量
48
审稿时长
13 weeks
期刊介绍: Future Science OA is an online, open access, peer-reviewed title from the Future Science Group. The journal covers research and discussion related to advances in biotechnology, medicine and health. The journal embraces the importance of publishing all good-quality research with the potential to further the progress of research in these fields. All original research articles will be considered that are within the journal''s scope, and have been conducted with scientific rigour and research integrity. The journal also features review articles, editorials and perspectives, providing readers with a leading source of commentary and analysis. Submissions of the following article types will be considered: -Research articles -Preliminary communications -Short communications -Methodologies -Trial design articles -Trial results (including early-phase and negative studies) -Reviews -Perspectives -Commentaries
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