Escape Díaz-Bonilla I, Gifre Bassols L, Segarra Medrano A, Solduga Forcada C, Torrents Odin C, Salas Caudevilla A
Rev Esp Enferm Apar Dig. 1989 Jun;75(6 Pt 1):577-82.
We present four cases of tuberculosis of the colon in the form of multiple segmental lesions located in the ascendant, transverse and descendant colon. We comment on the rarity of these locations and how they are easily confused with other diseases, like adenocarcinoma or Crohn's disease. For a correct diagnosis, affectation of the cecum and terminal ileum is useful. In cases in which these zones are not involved, differentiation is very difficult and can only achieved by bacteriological and histological studies after colonoscopy and biopsy.
我们报告了4例结肠结核病例,其表现为升结肠、横结肠和降结肠多发节段性病变。我们讨论了这些部位病变的罕见性以及它们如何容易与其他疾病(如腺癌或克罗恩病)相混淆。对于正确诊断,盲肠和回肠末端受累情况很有帮助。在这些部位未受累的病例中,鉴别诊断非常困难,只有通过结肠镜检查和活检后的细菌学和组织学研究才能实现。