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急性肠梗阻所致肠结核:一例报告并文献复习

Intestinal tuberculosis revealed by acute intestinal obstruction: a case report and review of the literature.

作者信息

Fodiya Moctar N, Touhami Nassiba O, Mkira Omar, Dato Habib O, Derqaoui Sabrine, Jahid Ahmed, Sani Rachid, Belkouchi Omar

机构信息

Department of General Surgery, Ibn Sina University Hospital Center, Mohamed V University, Avenue Hafiane Cherkaoui, X4MV+GJ, Rabat, Morocco.

Department of General Surgery, Faculty of Health Sciences of Abdou Moumouni University, G33M+H5V, Niamey, Niger.

出版信息

J Surg Case Rep. 2025 Jul 18;2025(7):rjaf546. doi: 10.1093/jscr/rjaf546. eCollection 2025 Jul.

Abstract

Tuberculosis is a major public health problem. It is an infectious disease present in every country in the world and can occur at any age, with a higher incidence in developing countries. Among the extra-pulmonary forms, the intestinal form is rare and often misdiagnosed and/or lately at the stage of complications such as occlusion, stricture, perforation, or hemorrhage. Unfortunately, this contributes to the increased mortality and morbidity associated with this benign disease. We report the case of a 78-year-old patient who presented to our department with an acute intestinal obstruction, secondary to an ileal mass. He had undergone bowel resection of the mass and hand sewn end-to-end anastomosis. Histopathological examination of the specimen confirmed intestinal tuberculosis.

摘要

结核病是一个重大的公共卫生问题。它是一种在世界各国均存在的传染病,可发生于任何年龄,在发展中国家发病率更高。在肺外结核形式中,肠道结核较为罕见,且常常被误诊和/或在出现诸如梗阻、狭窄、穿孔或出血等并发症阶段才被诊断出来。不幸的是,这导致了与这种良性疾病相关的死亡率和发病率上升。我们报告一例78岁患者的病例,该患者因回肠肿物导致急性肠梗阻前来我科就诊。他接受了肿物肠段切除及手工端端吻合术。标本的组织病理学检查确诊为肠道结核。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa50/12273898/77da466b6a4c/rjaf546f1.jpg

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