Bhatti Amna, Hussain Mudabbir, Kumar Daleep, Samo Khursheed A
Department of General Surgery, Dow University of Health Sciences/Civil Hospital, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2012 Feb;22(2):111-2.
Duodenal tuberculosis is an uncommon disease. It may be either extrinsic or intrinsic or both. In the extrinsic type there can either be primary duodenal involvement or compression due to enlarged paraduodenal lymph nodes. The clinical presentation can be dyspeptic or obstructive symptoms. The dyspeptic symptoms include epigastric pain, nausea, and occasional vomiting and obstructive symptoms include bilious vomiting frequently after meals, epigastric pain, and generalized abdominal pain. This report describes a young lady presenting with gastric outlet obstruction symptoms due to tuberculous adhesion involving the proximal duodenum.
十二指肠结核是一种罕见疾病。它可以是外在性的、内在性的或两者皆有。在外在性类型中，可能存在原发性十二指肠受累或十二指肠旁淋巴结肿大导致的压迫。临床表现可以是消化不良症状或梗阻症状。消化不良症状包括上腹部疼痛、恶心和偶尔的呕吐，梗阻症状包括餐后频繁胆汁性呕吐、上腹部疼痛和全腹痛。本报告描述了一位年轻女性因结核性粘连累及十二指肠近端而出现胃出口梗阻症状。
