Pérez Fernández T, Moreira Vicente V, Sanz Villalobos E, Alvarez Baleriola I
Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.
Gastroenterol Hepatol. 1997 Dec;20(10):490-3.
Two cases of colonic tuberculosis (TB) isolated in two elderly, not HIV seropositive women, presenting unspecific clinical manifestations (constitutional syndrome, fever, abdominal pain and diarrhea) and stenosis of the colon in diagnostic imaging techniques are presented. In the second case, endoscopy showed stenosis of the colonic lumen and inflammatory mucosa, the biopsy of which demonstrated granulation tissue with no signs of specificity (in the first case, technical problems did not allow the colonoscopy to reach the affected site). In both cases, diagnosis was performed postoperatively by study of the surgical pieces. Biopsy showed granulomas with acid-alcohol resistant bacilli. Both patients responded favorably to tuberculostatic treatment.
本文报告了两例结肠结核病例，患者为两名老年女性，HIV血清学检测均为阴性，临床表现不具特异性（全身症状、发热、腹痛及腹泻），诊断性影像技术显示结肠狭窄。第二例患者经内镜检查显示结肠腔狭窄及炎性黏膜，活检显示为肉芽组织，无特异性表现（第一例因技术问题未能行结肠镜检查至病变部位）。两例均在术后通过对手术标本的研究确诊。活检显示肉芽肿及抗酸杆菌。两名患者对抗结核治疗反应良好。
