Diallo Ibrahima, Touré Omar, Sarr Elhadji Souleymane, Sow Abdoul, Ndiaye Bineta, Diawara Papa Silman, Dial Cherif Mouhamed, Mbengue Ababacar, Fall Fatou
Hepato-Gastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal.
Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal.
World J Gastrointest Endosc. 2022 Sep 16;14(9):575-580. doi: 10.4253/wjge.v14.i9.575.
Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient.
A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment.
Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.
结核病在塞内加尔呈地方性流行。虽然其肺外定位罕见，但食管结核，尤其是孤立型食管结核则极为罕见。我们在此报告一例免疫功能正常患者的孤立型食管结核病例。
一名58岁男性因机械性吞咽困难就诊，该症状已持续3个月，并伴有未量化的体重减轻、厌食和发热。上消化道内镜检查显示广泛的溃疡性病变，提示肿瘤形成。组织病理学检查确诊为巨大细胞上皮样肉芽肿围绕干酪样坏死，胸部和腹部计算机断层扫描未显示结核的其他定位。治疗后预后良好。
在地方性流行地区，当吞咽困难伴有食管黏膜非典型溃疡性病变时，应考虑食管结核。
