Kim Seong-Eun, Shim Ki-Nam, Yoon Su Jin, Jung Sung-Ae, Kim Tae Hun, Yoo Kwon, Moon Hwan
Department of Internal Medicine, College of Medicine, Ewha Womans University, Ewha Medical Research Institute, Seoul, Korea.
Korean J Intern Med. 2006 Mar;21(1):62-7. doi: 10.3904/kjim.2006.21.1.62.
Tuberculosis of the stomach is quite rare, both as a primary or secondary infection. It can present as a facet of a multiorgan disease process or may result from immunodeficiency. Here, we report a rare, interesting case of gastric tuberculosis which morphologically mimicked advanced gastric cancer in a young, immunocompetent patient presenting with hematemesis and melena. The disease was diagnosed by biopsy, and responded well to antituberculosis medication without surgery. Clinicians must bear in mind that, even in the absence of immunodeficiency, as in this case, tuberculosis can involve any site in the gastrointestinal tract and may present with a variety of characteristics. Gastric tuberculosis should always be part of the differential diagnosis of chronic infiltrative lesions in the stomach.
胃结核相当罕见，无论是原发性还是继发性感染。它可表现为多器官疾病过程的一个方面，或可能由免疫缺陷引起。在此，我们报告一例罕见且有趣的胃结核病例，该病例在一名年轻、免疫功能正常且出现呕血和黑便的患者中，形态学上酷似进展期胃癌。该疾病通过活检得以诊断，且在未进行手术的情况下对抗结核药物反应良好。临床医生必须牢记，即使像本病例这样不存在免疫缺陷，结核也可累及胃肠道的任何部位，并可能呈现出多种特征。胃结核始终应作为胃慢性浸润性病变鉴别诊断的一部分。
