Gill Richdeep S, Gill Sumeet S, Mangat Harshdeep, Logsetty Sarvesh
Department of Surgery, University of Alberta, 9-50 Medical Sciences Building, Edmonton, AB, Canada T6G 2N8.
Case Rep Med. 2011;2011:392769. doi: 10.1155/2011/392769. Epub 2011 May 5.
Gastric tuberculosis is a rare presentation of tuberculosis infection. Gastric perforation associated with tuberculosis is exceedingly rare with five previously published cases. We present a case of a male patient that developed presumed gastric tuberculosis secondary to pulmonary tuberculosis infection. He subsequently developed gastric perforation and sepsis, for which he was treated both surgically and medically. Despite ongoing antituberculosis treatment, the patient's condition worsened and the patient died secondary to multiorgan failure. This case highlights gastric perforation as a rare but devastating complication of pulmonary tuberculosis.
胃结核是结核感染的一种罕见表现形式。与结核相关的胃穿孔极其罕见,此前仅有5例病例报道。我们报告一例男性患者,其因肺结核感染继发疑似胃结核。随后他发生了胃穿孔和脓毒症,为此接受了手术和药物治疗。尽管持续进行抗结核治疗,但患者病情仍恶化,最终因多器官衰竭死亡。该病例凸显了胃穿孔是肺结核一种罕见但极具破坏性的并发症。