Peghini M, Khoury J, Levy D, Bordahandy R, Beda Y B, Angate A Y
Med Trop (Mars). 1984 Jul-Sep;44(3):279-84.
The authors describe a case of gastric tuberculosis in a 23 years old African patient from Abidjan. Symptomatology included epigastralgia, post prandial vomiting, severe impoverishment of health state and dehydration. Endoscopy showed a pseudopolypoid diffuse gastritis with an infiltrated like mucosa. Endoscopic biopsy was carried out, but, because of clinical aggravation (epigastric muscular defense), the patient underwent a laparotomy before knowing the results of the biopsy. Gastrotomy showed an hypertrophied granulomatous hemorrhagic mucosa. By histological examination it was concluded in favour of a granulomatous gastritis with pan-parietal tuberculoid lesions without acid-alcohol-fast bacilli. The different causes of granulomatous gastritis were reviewed and a tuberculous etiology suspected. An antituberculous therapy was prescribed with excellent results on clinical and endoscopic standpoint one year after the treatment started.
作者描述了一名来自阿比让的23岁非洲患者的胃结核病例。症状包括上腹部疼痛、餐后呕吐、健康状况严重恶化和脱水。内镜检查显示为假息肉样弥漫性胃炎，黏膜呈浸润样。进行了内镜活检，但由于临床症状加重（上腹部肌肉抵抗），患者在得知活检结果之前接受了剖腹手术。胃切开术显示黏膜肥厚、肉芽肿性出血。组织学检查结果支持肉芽肿性胃炎，伴有全壁结核样病变，但未发现抗酸杆菌。回顾了肉芽肿性胃炎的不同病因并怀疑为结核病因。开始治疗一年后，从临床和内镜角度来看，抗结核治疗取得了良好效果。
