Fuentes P, Leynaud G, Assadourian R, Giudicelli R, Ottomani R, Piligian F, Treffot M J, Reboud E
Poumon Coeur. 1980 May-Jun;36(3):219-21.
The authors report the observation of a tuberculous ganglio-oesophageal fistula which revealed itself through several severe digestive hemorrhages. On this occasion, they recall that these fistulae are unusual and exceptionally hemorrhagic. Diagnosis can only be made by a thorough endoscopic examination. If medical treatment can be envisaged when the tuberculous nature of the lesion has been ascertained, surgery is to be prefered in case of uncertain etiology; the intervetion enables the opening of the tuberculous abscess and, at the same time, the treatment of the oesophageal perforation and the suppression of hemorrhages.
作者报告了一例结核性淋巴结-食管瘘的观察病例，该瘘通过多次严重的消化道出血得以显现。在此，他们回顾指出，这些瘘并不常见，且异常容易出血。诊断只能通过全面的内镜检查来做出。如果在确定病变的结核性质后可以考虑药物治疗，那么在病因不明的情况下则应首选手术；手术能够切开结核性脓肿，同时治疗食管穿孔并止血。
