González Martín M A, Díaz Oller J, González Pérez F, Esteban Urra B, Pérez-Sauquillo Pérez M, Enríquez Valens P, Ruiz Castillo J, Medina Domínguez T, Aljama P, de la Lastra P
Rev Esp Enferm Apar Dig. 1989 Jun;75(6 Pt 2):712-6.
Intestinal tuberculosis has been a clinical rarity in the western world since the tuberculostatic agents were discovered. The most common location of these lesions is usually the ileocecal region, lesions of the transverse colon being much less frequent and perforation of this viscus being exceptional. The etiological diagnosis is usually difficult because there are no specific radiological signs and false negatives are often found in biopsy material obtained by colonoscopy since the process is mainly submucous. This disease is often diagnosed during operation so treatment is usually resection. Should a preoperative diagnosis be made, the picture generally responds to tuberculostatics.
自从发现抗结核药物以来，肠结核在西方世界已属临床罕见病。这些病变最常见的部位通常是回盲部，横结肠病变则少见得多，该脏器穿孔更是罕见。病因诊断通常很困难，因为没有特异性的放射学征象，而且在结肠镜检查获取的活检材料中常出现假阴性，因为病变主要位于黏膜下层。这种疾病常在手术中被诊断出来，所以通常的治疗方法是切除。如果能做出术前诊断，病情一般对抗结核药物有反应。
