直肠原发性梅毒——内镜及临床特征。病例报告。
Primary syphilis of the rectum--endoscopic and clinical features. Report of a case.
作者信息
Bassi O, Cosa G, Colavolpe A, Argentieri R
机构信息
Digestive Endoscopy Unit, Ospedale Nuovo Regina Margherita, Rome, Italy.
出版信息
Dis Colon Rectum. 1991 Nov;34(11):1024-6. doi: 10.1007/BF02049969.
A 33-year-old man was admitted to our hospital for suspected rectal tumor. Endoscopy showed a rectal mass not typical of carcinoma, and histologic evaluation of biopsy specimens revealed granulomatous inflammation. Venereal Disease Research Laboratories (VDRL) and Treponema pallidum hemagglutination (TPHA) tests became positive during hospitalization, and dark-field examination was positive for Treponemas, thus allowing the diagnosis of chancre of the rectum. The clinical and endoscopic features of this case are described.
一名33岁男性因疑似直肠肿瘤入住我院。内镜检查显示直肠肿物，并非典型的癌，活检标本的组织学评估显示为肉芽肿性炎症。住院期间，性病研究实验室（VDRL）和梅毒螺旋体血凝试验（TPHA）呈阳性，暗视野检查发现梅毒螺旋体阳性，从而确诊为直肠硬下疳。本文描述了该病例的临床和内镜特征。
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