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食管结核作为吞咽困难的罕见病因:病例报告

Esophageal Tuberculosis as a Rare Cause of Dysphagia: Case Report.

作者信息

Zhao Billy, Kim Hyun Jae, Farrell Jessica, Xiong Wei, Telford Jennifer, Moosavi Sarvee

机构信息

Department of Medicine, University of British Columbia, Vancouver, BC, Canada.

Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.

出版信息

Case Rep Gastroenterol. 2024 Aug 1;18(1):395-401. doi: 10.1159/000540292. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

The esophagus and duodenum are rare sites of manifestation for extrapulmonary tuberculosis (TB). Its rarity makes the diagnosis challenging, especially when no other organ is involved, and the endoscopic findings may resemble malignancy.

CASE PRESENTATION

We report a unique case of a 37-year-old woman who presented with dysphagia secondary to esophageal TB with an endoscopic appearance of a submucosal mass resembling malignancy.

CONCLUSION

Esophageal TB is a rare cause of dysphagia, especially in a western setting. It should always be considered as a potential etiology in patients with dysphagia.

摘要

引言

食管和十二指肠是肺外结核病(TB)罕见的表现部位。其罕见性使得诊断具有挑战性,尤其是在没有其他器官受累的情况下,内镜检查结果可能类似恶性肿瘤。

病例报告

我们报告了一例独特的病例,一名37岁女性因食管结核出现吞咽困难,内镜检查显示为类似恶性肿瘤的黏膜下肿块。

结论

食管结核是吞咽困难的罕见原因,尤其是在西方环境中。对于吞咽困难的患者,应始终将其视为潜在病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcc/11324283/c1a45ea211aa/crg-2024-0018-0001-540292_F01.jpg

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