Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, BA 1710, Brunei Darussalam.
Singapore Med J. 2012 Sep;53(9):e192-4.
Tuberculosis remains an important cause of morbidity and mortality, especially in underdeveloped and developing nations. Manifestations could be nonspecific and may mimic many other conditions, including malignancies. Oesophageal involvement is surprisingly rare despite the high prevalence of pulmonary tuberculosis and the close proximity of these two structures. We report two cases of oesophageal tuberculosis; a 73-year-old man with simultaneous oesophageal, stomach and duodenal involvement, and a 45-year-old man with isolated oesophageal involvement. Underlying malignancies were initially suspected in both cases, but they were eventually diagnosed as tuberculosis.
结核病仍然是发病率和死亡率的重要原因，特别是在不发达国家和发展中国家。其表现可能是非特异性的，并且可能类似于许多其他病症，包括恶性肿瘤。尽管肺结核的患病率很高，且这两种结构相邻，但食管受累仍然非常罕见。我们报告了两例食管结核病例；一名 73 岁男性同时伴有食管、胃和十二指肠受累，另一名 45 岁男性则仅有食管受累。在这两种情况下，最初都怀疑存在恶性肿瘤，但最终诊断为结核病。
