Hiregoudar Abhijit D, Battal Mukunda M, Vishwanath N, Nadaf S C, Rao Ravikala, Dinesh U S
Department of Surgery, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, 580 009 Karnataka India.
Indian J Surg. 2009 Jun;71(3):159-61. doi: 10.1007/s12262-009-0043-2. Epub 2009 Jun 10.
A 40-year-old male who was diagnosed to be having ileocaecal tuberculosis by colonoscopy elsewhere was put on antitubercular treatment. Despite therapy over three months patient had recurrent bouts of lower abdominal pain and was admitted repeatedly with features of subacute intestinal obstruction. CT- abdomen revealed concentric large bowel thickening at multiple sites with features of stenosing lesions. Patient underwent an exploratory laparotomy and subtotal colectomy was done for the diseased large bowel. Post operative histopathological examination revealed it to be Behcet's disease. We report a rare case of intestinal Behcet's disease requiring subtotal colectomy.
一名40岁男性，在其他地方经结肠镜检查被诊断为回盲部结核，接受了抗结核治疗。尽管治疗了三个多月，但患者仍反复出现下腹部疼痛，并多次因亚急性肠梗阻症状入院。腹部CT显示多个部位大肠呈同心性增厚，有狭窄病变特征。患者接受了剖腹探查术，对病变大肠进行了次全结肠切除术。术后组织病理学检查显示为白塞病。我们报告了一例罕见的需要进行次全结肠切除术的肠道白塞病病例。
