Gleason T, Prinz R A, Kirsch E P, Jablokow V, Greenlee H B
Am J Gastroenterol. 1979 Jul;72(1):36-40.
At present, tuberculosis of the intestinal tract is rare in the United States. When gastrointestinal disease is seen, 85--90% of cases involve the ileocecal area. A case of tuberculosis of the duodenum unassociated with pulmonary disease is described. Although fiberoptic enndoscopy, abdominal ultrasonography and computerized axial tomography were used, the diagnosis required laprotomy with biopsy. The clinical manifestations, diagnostic investigations and treatment of the 49 previously reported cases of duodenal tuberculosis are also reviewed.
目前,肠道结核在美国较为罕见。当出现胃肠疾病时,85%至90%的病例累及回盲部。本文描述了一例与肺部疾病无关的十二指肠结核病例。尽管使用了纤维内镜检查、腹部超声检查和计算机断层扫描,但诊断仍需剖腹手术并进行活检。本文还回顾了此前报道的49例十二指肠结核病例的临床表现、诊断检查及治疗情况。