Oliveira E, Oliveira A, Costa A, Sa L, Vieira A, Oliveira A
Serviço de Cirurgia, Hospital Distrital de Aveiro.
Acta Med Port. 1994 Dec;7(12):687-90.
A 37 year old woman with duodenal ulcer not responsive to medical treatment was operated. Antrectomy, truncal vagotomy and Bilroth II gastrojejunostomy were performed. The histopathology revealed epithelioid cell granulomas with multinucleated cells and central ceseation, in the gastric side of the pylorus and in three isolated lymph nodes. With Ziehl-Neelsen staining there were multiple acid-fast bacilli. There was no evidence or previous history, personal or familial, or tuberculosis in an other localization. Epidemiology, pathology, diagnosis, and treatment of gastric tuberculosis are discussed according to the literature.
一名37岁患有十二指肠溃疡且药物治疗无效的女性接受了手术。进行了胃窦切除术、迷走神经干切断术和毕罗Ⅱ式胃空肠吻合术。组织病理学显示，在幽门的胃侧和三个孤立的淋巴结中有上皮样细胞肉芽肿，伴有多核细胞和中央干酪样坏死。经齐-尼氏染色发现多个抗酸杆菌。没有证据表明在其他部位有个人或家族性结核病病史。根据文献对胃结核的流行病学、病理学、诊断和治疗进行了讨论。
