Knutson L, Arosenius K E
Acta Chir Scand. 1984;150(4):345-8.
Two patients with primary tuberculosis of the ileocecal region and transverse colon were thought to be Crohn's disease or carcinoma of the colon. No pathognomonic symptoms or roentgenographic findings were present, and the diagnosis was made on the basis of histopathological features including the presence of alcohol/acid fast bacilli. In one case human tubercle bacilli were cultured. The involved bowel segments were resected and the patients received antituberculous chemotherapy postoperatively. Although tuberculosis of the colon is very rare it should however be considered in cases of vague bowel dysfunction.
两名患有回盲部和横结肠原发性结核的患者曾被误诊为克罗恩病或结肠癌。患者没有典型症状或X线表现，诊断是基于包括抗酸杆菌存在在内的组织病理学特征做出的。其中一例培养出了人结核杆菌。受累肠段被切除，患者术后接受了抗结核化疗。虽然结肠结核非常罕见，但在肠道功能紊乱不明确的病例中仍应予以考虑。
