Watanabe T, Kudo M, Kayaba M, Shirane H, Tomita S, Orino A, Todo A, Chiba T
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Japan.
J Gastroenterol. 1999 Aug;34(4):525-9. doi: 10.1007/s005350050308.
A patient with massive rectal bleeding due to ileal tuberculosis is reported. Technetium-99m labelled red blood cell scintigraphy indicated hemorrhage from the ileum, and laparotomy was then carried out. A 70-cm segment of ileum containing ulcers and erosions was resected, and epitheloid granuloma with Langhans-type giant cell was found in the resected specimen. Massive rectal bleeding is considered a rare presenting symptom of intestinal tuberculosis. Intestinal tuberculosis, including small intestinal tuberculosis, although uncommon, should be taken into consideration as a cause of rectal bleeding.
本文报道了一例因回肠结核导致大量直肠出血的患者。锝-99m标记红细胞闪烁扫描显示回肠出血，随后进行了剖腹手术。切除了一段70厘米长的含有溃疡和糜烂的回肠，在切除标本中发现了伴有朗汉斯型巨细胞的上皮样肉芽肿。大量直肠出血被认为是肠结核罕见的表现症状。肠结核，包括小肠结核，虽然不常见，但应被视为直肠出血的一个病因。
