Weissman D, Gumaste V V, Dave P B, Keh W
Department of Medicine, Mount Sinai Services-City Hospital Center, Elmhurst, New York.
Am J Gastroenterol. 1990 Jun;85(6):742-4.
A 26-yr-old male of Ecuadorian descent developed epigastric pain and bleeding per rectum, necessitating hospitalization. Upper endoscopy revealed an irregularly shaped gastric ulcer which was biopsied. Because of persistent bleeding and hemodynamic compromise, the patient underwent an exploratory laparotomy. Findings included peritoneal and visceral surfaces studded with small, round yellow lesions. Frozen section examination revealed granulomas with giant cells. Gastric biopsies from the endoscopy showed AFB. Although gastric involvement is seen in association with tuberculosis, the occurrence of upper gastrointestinal bleeding is unusual.
一名26岁的厄瓜多尔裔男性出现上腹部疼痛和直肠出血，需要住院治疗。上消化道内镜检查发现一个形状不规则的胃溃疡，并进行了活检。由于持续出血和血流动力学不稳定，患者接受了剖腹探查术。检查结果包括腹膜和内脏表面布满了小的圆形黄色病变。冰冻切片检查显示有含巨细胞的肉芽肿。内镜检查获取的胃活检标本显示抗酸杆菌阳性。虽然胃结核较为常见，但上消化道出血的情况并不多见。
