Alvarez Conde J L, Gutiérrez Alonso V M, Del Riego Tomás J, García Martínez I, Arizcun Sánchez-Morate A, Vaquero Puerta C
Servicio de Cirugía General y Digestiva, Hospital General Río Carrión, Palencia.
Rev Esp Enferm Dig. 1992 Jan;81(1):46-8.
The rate of patients with extrapulmonary tuberculosis has increased in the last years (about 5% of all cases), and displaying a wide spectrum of clinical manifestations. Among them, the anal localization is a rare occurrence (0.7%) according to available published data. During the last two years, we have diagnosed and treated three patients with perianal tuberculous lesions manifested by ulcers. All three were males, associated with active pulmonary tuberculosis, and one with intestinal involvement which required surgical treatment. Based on this experience, we have reviewed the different etiopathogenic, clinical, diagnostic and therapeutic manifestations of this picture, emphasizing the importance of suspicion, and its diagnostic easiness if the different infectious and inflammatory diseases at this level are taken into account.
近年来，肺外结核患者的比例有所上升（约占所有病例的5%），且临床表现多样。根据已发表的现有数据，肛门部位的结核较为罕见（0.7%）。在过去两年中，我们诊断并治疗了3例以溃疡为表现的肛周结核病变患者。3例均为男性，均合并活动性肺结核，其中1例伴有肠道受累，需要手术治疗。基于这一经验，我们回顾了该病症不同的病因、临床、诊断和治疗表现，强调了怀疑的重要性，以及如果考虑到该部位不同的感染性和炎症性疾病，其诊断并不困难。
