Zalev A H, Sacks J S, Warren R E
Department of Medicine, University of Toronto, Ontario.
Can J Gastroenterol. 1997 Jan-Feb;11(1):41-3. doi: 10.1155/1997/107435.
A patient from Thailand presented with symptoms suggestive of peptic ulceration. Radiology showed an ulcerated duodenal stricture, a pancreaticoduodenal mass and extensive retroperitoneal lymphadenopathy suggestive of metastatic carcinoma. Tuberculosis was diagnosed only at laparotomy. The incidence of tuberculosis is increasing, and alimentary tuberculosis should be considered in patients from populations at risk presenting with obscure abdominal complaints or unexplained radiologic findings.
一名来自泰国的患者出现了提示消化性溃疡的症状。放射学检查显示十二指肠溃疡狭窄、胰十二指肠肿物以及广泛的腹膜后淋巴结肿大，提示转移性癌。仅在剖腹手术时才诊断出结核病。结核病的发病率正在上升，对于有腹部不适或不明原因放射学检查结果的高危人群患者，应考虑消化道结核。
