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多发性肠穿孔作为一名HIV感染患者腹部结核的主要表现。

Multiple intestinal perforations as a primary manifestation of abdominal tuberculosis in a HIV-infected patient.

作者信息

Sarrami Amir Hossein, Sharifi Mohsen, Ahsan Majid, Afsharmoghaddam Noushin

机构信息

Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Surg Case Rep. 2010 Dec 1;2010(10):7. doi: 10.1093/jscr/2010.10.7.

DOI:10.1093/jscr/2010.10.7
PMID:24945844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649186/
Abstract

Abdominal tuberculosis (TB) is the sixth commonest extra-pulmonary TB form after lymphatic, genitourinary, bone and joint, miliary and meningeal tuberculosis. Perforation is a serious and uncommon complication of abdominal tuberculosis which can occur even during the treatment. A 30-year-old man was admitted with a three-day history of abdominal pain who had emergency surgery for multiple perforations of the distal ileum.

摘要

腹部结核是继淋巴、泌尿生殖、骨关节、粟粒性和脑膜结核之后第六常见的肺外结核类型。穿孔是腹部结核的一种严重且罕见的并发症，甚至在治疗期间也可能发生。一名30岁男性因腹痛三天入院，因回肠末端多处穿孔接受了急诊手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7b/3649186/b9b64e04e1ad/jscr-2010-10-7fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7b/3649186/a2fa5caf1425/jscr-2010-10-7fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7b/3649186/b9b64e04e1ad/jscr-2010-10-7fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7b/3649186/a2fa5caf1425/jscr-2010-10-7fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7b/3649186/b9b64e04e1ad/jscr-2010-10-7fig2.jpg

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本文引用的文献

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Abdominal tuberculosis: a histopathological study with special reference to intestinal perforation and mesenteric vasculopathy.腹部结核：一项关于肠穿孔和肠系膜血管病变的组织病理学研究
J Lab Physicians. 2009 Jul;1(2):56-61. doi: 10.4103/0974-2727.59700.
2
What is the most accurate method for the diagnosis of intestinal tuberculosis?诊断肠结核最准确的方法是什么？
Turk J Gastroenterol. 2010 Mar;21(1):91-6. doi: 10.4318/tjg.2010.0063.
3
Histopathology and TB-PCR kit analysis in differentiating the diagnosis of intestinal tuberculosis and Crohn's disease.
组织病理学和 TB-PCR 试剂盒分析在鉴别诊断肠结核和克罗恩病中的作用。
World J Gastroenterol. 2010 May 28;16(20):2496-503. doi: 10.3748/wjg.v16.i20.2496.
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[Intestinal tuberculosis: an emerging cause of abdominal pain and fever].
Rev Esp Enferm Dig. 2009 Aug;101(8):581-2.
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Gastrointestinal tuberculosis.
Singapore Med J. 2009 Jun;50(6):638-45; quiz 646.
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Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience.巴基斯坦穿孔性腹膜炎的范围：300 例东部经验。
World J Emerg Surg. 2008 Nov 8;3:31. doi: 10.1186/1749-7922-3-31.
7
Diagnostic dilemma of abdominal tuberculosis in non-HIV patients: an ongoing challenge for physicians.非HIV患者腹部结核的诊断困境：医生面临的持续挑战。
World J Gastroenterol. 2006 Oct 21;12(39):6371-5. doi: 10.3748/wjg.v12.i39.6371.
8
Tuberculosis in HIV-infected patients: a comprehensive review.HIV 感染患者的结核病：全面综述
Clin Microbiol Infect. 2004 May;10(5):388-98. doi: 10.1111/j.1469-0691.2004.00758.x.