Lucero P F, Frey W C, Shaffer R T, Morris M J
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200, USA.
Inflamm Bowel Dis. 2001 Aug;7(3):256-9. doi: 10.1097/00054725-200108000-00012.
This is a case report of a 77-year-old female with Crohn's disease manifested by recurrent bowel obstructions, who required surgical resections on two occasions but no further medical treatment. She presented 2 years later with pulmonary infiltrates, hilar adenopathy, and multiple lung masses. Biopsies of the masses demonstrated noncaseating granulomatous inflammation and fibrosis similar to the pathology from her bowel resection. Six months later, these pulmonary lesions partially resolved without therapy. This case illustrates significant pulmonary manifestations of Crohn's disease in the absence of active gastrointestinal disease.
这是一例77岁女性克罗恩病的病例报告，该患者表现为反复肠梗阻，曾接受过两次手术切除，未接受进一步药物治疗。两年后，她出现肺部浸润、肺门淋巴结肿大及多个肺部肿块。肿块活检显示为非干酪样肉芽肿性炎症和纤维化，与肠道切除标本的病理表现相似。六个月后，这些肺部病变未经治疗部分消退。该病例表明，在无活动性胃肠道疾病的情况下，克罗恩病可出现显著的肺部表现。
