Candela F, Serrano P, Arriero J M, Teruel A, Reyes D, Calpena R
Department of Surgery, Hospital General de Elche, Alicante, Spain.
Dis Colon Rectum. 1999 Jan;42(1):110-2. doi: 10.1007/BF02235192.
A case of anal tuberculosis in an otherwise asymptomatic patient with bleeding anal ulcers is presented. The clinical features of this entity and the problems in differential diagnosis between anal infectious vs. inflammatory diseases are discussed.
The management and outcome of the case of an adult patient who presented with perianal ulcers is described.
On a three-drug antituberculous regimen, symptoms abated, radiographic infiltrates improved, and perianal ulcers healed.
Anal tuberculosis is an extremely rare disease. A tuberculous origin must be considered when the cause of perianal ulcers is unclear to avoid undesirable delays in the diagnosis and treatment of this disease.
报告一例肛门溃疡出血但无其他症状患者的肛门结核病例。讨论该疾病实体的临床特征以及肛门感染性疾病与炎症性疾病鉴别诊断中的问题。
描述一名出现肛周溃疡的成年患者的治疗及转归情况。
采用三联抗结核治疗方案后,症状减轻,影像学浸润改善,肛周溃疡愈合。
肛门结核是一种极为罕见的疾病。当肛周溃疡病因不明时,必须考虑结核起源,以免该病的诊断和治疗出现不必要的延误。