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结核瘤样表现的乙状结肠癌弥漫性腹膜转移。

Tuberculosis Mimicking Disseminated Peritoneal Carcinomatosis of a Sigmoid Carcinoma.

机构信息

Department of General and Visceral Surgery, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.

Department of Internal Medicine, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.

出版信息

J Gastrointest Surg. 2019 Apr;23(4):877-878. doi: 10.1007/s11605-018-3800-3. Epub 2018 May 7.

DOI:10.1007/s11605-018-3800-3
PMID:29736664
Abstract

BACKGROUND

A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread.

METHODS

Patient's medical history was reprocessed and compared to recent literature via PubMed.

RESULTS

Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven.

CONCLUSION

Symptoms of TB may vary and findings can be misleading. An interdisciplinary approach is needed for diagnosis and treatment.

摘要

背景

一位 76 岁的摩洛哥患者，有乙状结肠癌病史，体重减轻 15 公斤，并伴有腹痛。腹腔镜检查显示弥漫性粟粒状腹膜病变，初步怀疑为弥漫性腹膜癌扩散。

方法

重新处理患者的病史，并通过 PubMed 与近期文献进行比较。

结果

病理评估显示为肉芽肿，证实患有腹腔粟粒性结核（TB）感染。

结论

TB 的症状可能有所不同，检查结果可能会产生误导。诊断和治疗需要多学科的方法。

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[Treatment of abdominal tuberculosis : Background, diagnostics and treatment of a global problem].[腹部结核的治疗：一个全球性问题的背景、诊断与治疗]
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本文引用的文献

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A Severe Case of Tuberculosis Radiologically and Endoscopically Mimicking Colorectal Cancer with Peritoneal Carcinomatosis.一例影像学和内镜检查表现酷似伴腹膜转移癌的结直肠癌的重症肺结核病例
Case Rep Gastrointest Med. 2017;2017:6206951. doi: 10.1155/2017/6206951. Epub 2017 Oct 3.
2
Is abdominal tuberculosis a surgical problem?腹部结核是一个外科问题吗？
Ann R Coll Surg Engl. 2015 Sep;97(6):414-9. doi: 10.1308/rcsann.2015.0010. Epub 2015 Aug 14.
3
Pancreatic tuberculosis with obstructive jaundice--a case report.胰腺结核伴梗阻性黄疸——病例报告
Am J Gastroenterol. 1999 Sep;94(9):2534-6. doi: 10.1111/j.1572-0241.1999.01389.x.