Gupta S K, Jain A K, Gupta J P, Agrawal A K, Berry K
Department of Radiology, Banaras Hindu University, Varanasi, India.
Clin Radiol. 1988 Mar;39(2):159-61. doi: 10.1016/s0009-9260(88)80016-3.
The clinical and radiological features in 30 cases of duodenal tuberculosis are presented. The patients are divisible into two groups on the basis of their presenting features. Twenty-two had symptoms and signs of gastric or duodenal obstruction, and eight patients had dyspepsia suggesting peptic ulceration. In the first group, laporotomy showed that the duodenal obstruction was due to extrinsic compression by matted tuberculous lymph nodes in the majority; there was only five intrinsic strictures. In patients with dyspepsia there were bulbar and post-bulbar ulcers accompanied by more widespread mucosal changes, induration, and periduodenal lymphadenopathy. Bypass procedures were performed to relieve obstruction; no resection was possible because of the adherence of the lymph node masses.
本文介绍了30例十二指肠结核的临床和放射学特征。根据患者的临床表现，可将其分为两组。22例有胃或十二指肠梗阻的症状和体征，8例有提示消化性溃疡的消化不良症状。在第一组中，剖腹手术显示，大多数十二指肠梗阻是由于结核性淋巴结相互粘连导致的外部压迫；仅有5例为十二指肠内在狭窄。有消化不良症状的患者存在球部和球后溃疡，并伴有更广泛的黏膜改变、硬结和十二指肠周围淋巴结肿大。为缓解梗阻进行了旁路手术；由于淋巴结肿块粘连，无法进行切除手术。
