Gómez Cedenilla A, Garrido Durán C, Sansó Sureda A, Torres J J, Canalejo Castrillejo E
Servicio de Medicina Interna-Digestivo. Fundación Hospital Manacor. Palma de Mallorca. Spain.
Gastroenterol Hepatol. 2003 Dec;26(10):643-5. doi: 10.1016/s0210-5705(03)70425-7.
We present the case of a 68-year-old man who presented dysphagia and weight loss over the previous three months. Esophageal transit showed extreme stenosis suspicious for neoplasia but which was revealed to be a granulomatous inflammatory lesion. Culture of the lesion revealed Mycobacterium tuberculosis. Chest x-ray showed pulmonary tuberculosis. Esophageal tuberculosis should be considered in patients with dysphagia and pulmonary tuberculosis.
我们报告一例68岁男性病例,该患者在过去三个月出现吞咽困难和体重减轻。食管造影显示极度狭窄,怀疑为肿瘤,但结果显示是肉芽肿性炎症病变。病变培养发现结核分枝杆菌。胸部X线显示肺结核。对于有吞咽困难和肺结核的患者,应考虑食管结核。