Tazi K, Errougani A, Lakahal B, Benchekroun A, Amraoui M, Chkoff R, Balafrej S
Service des urgences chirurgicales viscérales, Hôpital Avicenne Rabat, Maroc.
J Chir (Paris). 1995 Jun-Jul;132(6-7):318-21.
Tuberculosis of the duodenum was revealed in two patients by severe upper digestive tract bleeding. These cases illustrate the difficulties in diagnosing tuberculosis of the duodenum which can present as a simple bleeding ulceration. This "infectious" ulcer is an exceptional finding but certain diagnosis can be made at laparotomy with extemporaneous pathology of the lymph nodes. For non-complicated cases, the diagnosis may be suspected on the bases of routine laboratory tests. Surgery should be limited as much as possible since specific antibiotics are usually successful in cases of digestive tract tuberculosis.
两名患者因严重上消化道出血被诊断为十二指肠结核。这些病例说明了十二指肠结核诊断的困难,其可能表现为单纯的出血性溃疡。这种“感染性”溃疡是一种罕见的发现,但在剖腹手术时通过淋巴结的即时病理检查可做出明确诊断。对于非复杂病例,可根据常规实验室检查怀疑诊断。由于在消化道结核病例中使用特定抗生素通常会取得成功,因此应尽可能限制手术。