Eboda M A, Akande B
Department of Surgery, Lagos University Teaching Hospital, Nigeria.
Trop Geogr Med. 1991 Jul;43(3):307-9.
This is a report of a 27-year-old Nigerian male who presented with massive lower gastrointestinal haemorrhage requiring seven units of whole blood to finally stabilize him. Physical examination and other laboratory investigations as well as sigmoidoscopy were not helpful in establishing a diagnosis. Barium enema had indicated a suspicious narrowing of the transverse colon which led to advising laparotomy. The definitive diagnosis was established following laparotomy and biopsy, histology of which revealed tuberculosis. Following the institution of anti-tuberculous therapy the patient's response was outstandingly remarkable.
这是一份关于一名27岁尼日利亚男性的报告，该患者出现大量下消化道出血，需要输注7单位全血才能最终稳定病情。体格检查、其他实验室检查以及乙状结肠镜检查均无助于确诊。钡灌肠显示横结肠有可疑狭窄，因此建议进行剖腹手术。剖腹手术及活检后确诊，组织学检查显示为结核病。开始抗结核治疗后，患者的反应非常显著。
