Ibn Majdoub Hassani K, Ait Laalim S, Toughrai I, Mazaz K
Department of Surgery, University Hospital Hassan II, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Route de Sidi Hrazem, Fez 30000, Morocco.
Case Rep Infect Dis. 2012;2012:852763. doi: 10.1155/2012/852763. Epub 2012 Dec 30.
Extra pulmonary tuberculosis accounts for less than 15% of all cases of tuberculosis whereas the Intestinal one constitutes less than 1% of the extrapulmonary forms of the disease. The lesions of abdominal organs are more common while they rarely occur in the anoperineal area for the spread of the disease to the anus is extremely rare. We report a case of a 37-year-old male patient with large bilateral infected perianal tubercular ulcerations as well as pulmonary and peritoneal tuberculosis. The treatment was both surgical and medical and the therapy lasted for seven months. After six months from the beginning of the treatment, the lesion had totally disappeared and there is still no recurrence after one year of followup. Tuberculosis should generally be taken into consideration in the differential diagnosis of the ulcerative lesions of the anal and perianal regions for these lesions do occur in the said areas despite their rarity. The treatment is usually both surgical and medical so as to get excellent results.
肺外结核占所有结核病病例的比例不到15%，而肠结核在肺外结核形式中所占比例不到1%。腹部器官的病变更为常见，而在肛门会阴区域则很少发生，因为疾病传播到肛门极为罕见。我们报告一例37岁男性患者，患有双侧巨大感染性肛周结核溃疡以及肺结核和腹膜结核。治疗采用手术和药物相结合的方式，疗程持续了七个月。治疗开始六个月后，病变完全消失，随访一年后仍无复发。在肛门和肛周区域溃疡性病变的鉴别诊断中，通常应考虑结核病，因为尽管这些病变罕见，但确实会在上述区域发生。治疗通常采用手术和药物相结合的方式，以取得良好效果。
