Bae Hyunyoung, Cho Jungheum, Kim Hyuk Jung, Jang Suk Ki, Na Hee Young, Paik Jin Ho
J Korean Soc Radiol. 2024 Jul;85(4):801-806. doi: 10.3348/jksr.2023.0155. Epub 2024 May 14.
Primary rectal syphilis is a rare disease that can be misdiagnosed as lymphoma or other rectal cancers on sigmoidoscopy or CT. Here, we report a case of primary rectal syphilis mimicking rectal malignancy in a 23-year-old male who presented with a rectal mass and multiple lymphadenopathies. In this case report and literature review, we focused on the CT findings and endoscopic observations of primary rectal syphilis. Infectious diseases, such as rectal syphilis, should be considered in the differential diagnosis of young patients with unusual rectal lesions and disproportionately extensive lymphadenopathies.
原发性直肠梅毒是一种罕见疾病，在乙状结肠镜检查或CT检查时可能被误诊为淋巴瘤或其他直肠癌。在此，我们报告一例23岁男性原发性直肠梅毒病例，该患者表现为直肠肿物和多处淋巴结病，酷似直肠恶性肿瘤。在本病例报告及文献综述中，我们重点关注原发性直肠梅毒的CT表现和内镜观察结果。对于有异常直肠病变且伴有不成比例的广泛淋巴结病的年轻患者，鉴别诊断时应考虑诸如直肠梅毒等传染病。
