Cappell M S, Hassan T, Rosenthal S, Mascarenhas M
Department of Medicine, University of Medicine of New Jersey-Robert Wood Johnson, New Brunswick.
Am J Gastroenterol. 1992 Dec;87(12):1823-7.
Three patients with the acquired immunodeficiency syndrome (AIDS) had complete or incomplete gastrointestinal obstruction resulting from infection with Mycobacterium avium intracellulare. The pathophysiologic mechanisms of the obstruction in the three cases were ileal volvulus due to adhesions from matted infected mesenteric lymph nodes, ileal intussusception due to engorged infected ileal mucosa, and small bowel displacement and compression by massively enlarged infected intraabdominal lymph nodes. These reports extend the clinical manifestations of Mycobacterium avium intracellulare infection in patients with AIDS to include partial and complete gastrointestinal obstruction.
三名获得性免疫缺陷综合征（艾滋病）患者因细胞内鸟分枝杆菌感染出现了完全性或不完全性肠梗阻。三例梗阻的病理生理机制分别为：因感染的肠系膜淋巴结融合形成粘连导致的回肠扭转；因充血的感染性回肠黏膜导致的回肠套叠；以及因腹腔内大量肿大的感染性淋巴结导致的小肠移位和受压。这些报告将艾滋病患者细胞内鸟分枝杆菌感染的临床表现扩展至包括部分性和完全性肠梗阻。
