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不仅仅是息肉:通过结肠镜筛查诊断结核病

More Than Just a Polyp: Diagnosis of Tuberculosis From a Screening Colonoscopy.

作者信息

Obeidat Adham E, Namiki Thomas, Murakami Traci T

机构信息

Department of Internal Medicine, The Queen's Medical Center, Honolulu, USA.

Department of Pathology, The Queen's Medical Center, Honolulu, USA.

出版信息

Cureus. 2021 Feb 8;13(2):e13216. doi: 10.7759/cureus.13216.

DOI:10.7759/cureus.13216
PMID:33728169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7946609/
Abstract

The diagnosis of tuberculosis (TB) is challenging to make due to the non-specific signs and symptoms that patients usually present with. Furthermore, the endoscopic appearance of colonic TB is not specific and can mimic other more common pathologies such as Crohn's disease and colonic malignancy. We report the case of a 66-year-old female who presented for a routine screening colonoscopy and was diagnosed with disseminated TB after histopathological examination of the discovered polyps.

摘要

由于患者通常表现出的非特异性体征和症状,结核病(TB)的诊断具有挑战性。此外,结肠结核的内镜表现并不具有特异性,可能会与其他更常见的病症相混淆,如克罗恩病和结肠恶性肿瘤。我们报告了一例66岁女性的病例,该患者因常规结肠镜筛查就诊,在对发现的息肉进行组织病理学检查后被诊断为播散性结核。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/7946609/d50a63240277/cureus-0013-00000013216-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/7946609/8cb3a113aa56/cureus-0013-00000013216-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/7946609/d50a63240277/cureus-0013-00000013216-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/7946609/8cb3a113aa56/cureus-0013-00000013216-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/7946609/d50a63240277/cureus-0013-00000013216-i02.jpg

相似文献

1
More Than Just a Polyp: Diagnosis of Tuberculosis From a Screening Colonoscopy.不仅仅是息肉:通过结肠镜筛查诊断结核病
Cureus. 2021 Feb 8;13(2):e13216. doi: 10.7759/cureus.13216.
2
Diagnosis and management of a solitary colorectal juvenile polyp in an adult during follow-up for ulcerative colitis: A case report.成人溃疡性结肠炎随访中孤立性结直肠幼年性息肉的诊断和处理:病例报告。
World J Gastroenterol. 2020 Feb 28;26(8):877-882. doi: 10.3748/wjg.v26.i8.877.
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[Risk analysis of the canceration of colorectal large polyps].[大肠大息肉癌变的风险分析]
Zhonghua Wei Chang Wai Ke Za Zhi. 2018 Oct 25;21(10):1161-1166.
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Crohn's disease associated with giant inflammatory polyposis.克罗恩病伴巨大炎性息肉病。
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Endoscopic versus histological characterisation of polyps during screening colonoscopy.结肠镜筛查中息肉的内镜与组织学特征。
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Am J Gastroenterol. 2014 Sep;109(9):1312-24. doi: 10.1038/ajg.2014.95. Epub 2014 Jul 8.

本文引用的文献

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Submucosal tumor-like lesion originating from colon tuberculosis: a case report and review of the literature.起源于结肠结核的黏膜下肿瘤样病变:一例报告并文献复习
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2006 - 2011年中国天津肺外结核病的流行病学及危险因素分析
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Abdominal tuberculosis of the gastrointestinal tract: revisited.胃肠道结核:再探讨
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Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment.结肠结核:内镜特征和抗结核治疗后的前瞻性内镜随访。
Clin Transl Gastroenterol. 2012 Oct 11;3(10):e24. doi: 10.1038/ctg.2012.19.
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A case of sigmoid colon tuberculosis mimicking colon cancer.一例酷似结肠癌的乙状结肠结核病例。
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