Pettengell K E, Pirie D, Simjee A E
Gastro-intestinal Unit, University of Natal, Congella.
S Afr Med J. 1991 Mar 2;79(5):279-80.
The colonoscopic findings in 11 patients with early tuberculous colitis included erythema alone in 1 patient (9.1%), mucosal nodules indistinguishable from small adenoma in 8 (72.7%), aphthous ulcers in 3 (27.3%), and a deformed ileocaecal valve in 3 (27.3%). The caecum was the principal site of disease and the ileum was found to be normal in the 4 patients in whom it was entered. In 3 patients (27.3%), skip lesions were present. Acid-fast bacilli were present on histological examination in all cases--in the mucosa of 4 patients and the submucosa or lamina propria in 7 patients.
11例早期结核性结肠炎患者的结肠镜检查结果包括:仅1例(9.1%)表现为红斑;8例(72.7%)有与小腺瘤难以区分的黏膜结节;3例(27.3%)有阿弗他溃疡;3例(27.3%)有回盲瓣变形。盲肠是主要病变部位,4例进入回肠的患者中回肠正常。3例(27.3%)有跳跃性病变。所有病例组织学检查均发现抗酸杆菌——4例在黏膜中发现,7例在黏膜下层或固有层中发现。