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以胃出口梗阻为表现的胃十二指肠结核:一例报告

Gastroduodenal Tuberculosis Presenting as a Gastric Outlet Obstruction: A Case Report.

作者信息

Maliyakkal Abdul Majeed, Naushad Vamanjore A, Shaath Nabeel M, Valiyakath Hanee S, Farfar Khalifa L, Mohammed Asad M, Ahmed Mustafa

机构信息

Department of Medicine, Hamad Medical Corporation, Doha, QAT.

Clinical Department, College of Medicine, QU Health, Qatar University, Doha, QAT.

出版信息

Cureus. 2023 Nov 26;15(11):e49436. doi: 10.7759/cureus.49436. eCollection 2023 Nov.

DOI:10.7759/cureus.49436
PMID:38149133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10750844/
Abstract

Abdominal tuberculosis (TB) can affect any part of the gastrointestinal tract, solid organs, peritoneum, or lymph nodes. The diagnosis of abdominal TB is usually delayed due to a lack of specific clinical signs and symptoms and the mimicking of other intra-abdominal diseases. We present a case of gastroduodenal tuberculosis with peripancreatic lymph node involvement presented as a gastric outlet obstruction that was treated conservatively with anti-tuberculosis medications.

摘要

腹部结核可累及胃肠道、实体器官、腹膜或淋巴结的任何部位。由于缺乏特异性临床体征和症状以及与其他腹腔内疾病相似,腹部结核的诊断通常会延迟。我们报告一例胃十二指肠结核伴胰周淋巴结受累,表现为胃出口梗阻,采用抗结核药物保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/7f98f914d426/cureus-0015-00000049436-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/cef01a59436e/cureus-0015-00000049436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/d3df5f92cfe5/cureus-0015-00000049436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/002b45461b17/cureus-0015-00000049436-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/d9b5c171a90c/cureus-0015-00000049436-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/7f98f914d426/cureus-0015-00000049436-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/cef01a59436e/cureus-0015-00000049436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/d3df5f92cfe5/cureus-0015-00000049436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/002b45461b17/cureus-0015-00000049436-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/d9b5c171a90c/cureus-0015-00000049436-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d00a/10750844/7f98f914d426/cureus-0015-00000049436-i05.jpg

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本文引用的文献

1
Primary peripancreatic lymph node tuberculosis as a differential diagnosis of pancreatic neoplasia.原发性胰周淋巴结结核作为胰腺肿瘤的鉴别诊断
Rev Esp Enferm Dig. 2017 Jul;109(7):528-530. doi: 10.17235/reed.2017.4811/2016.
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Abdominal Tuberculosis.腹部结核
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Abdominal tuberculosis of the gastrointestinal tract: revisited.胃肠道结核:再探讨
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Duodenal tuberculosis.十二指肠结核
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The epidemiology of tuberculosis in the United States.美国的结核病流行病学。
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Trends in tuberculosis/human immunodeficiency virus comorbidity, United States, 1993-2004.1993 - 2004年美国结核病/人类免疫缺陷病毒合并感染趋势
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Gastroduodenal tuberculosis management guidelines, based on a large experience and a review of the literature.基于丰富经验和文献综述的胃十二指肠结核管理指南。
Can J Surg. 2004 Oct;47(5):364-8.