Kuganeswaran E, Smith O J, Quiason S G, Clarkston W K, Pandya P K, DePond W
University of Missouri-Kansas City School of Medicine, 64108, USA.
Am J Gastroenterol. 1999 Jan;94(1):270-2. doi: 10.1111/j.1572-0241.1999.00815.x.
We report a case of gastrointestinal tuberculosis, presenting with both massive upper and lower gastrointestinal bleeding that required two emergency operations. Massive bleeding is rare in gastrointestinal tuberculosis because of associated obliterative endarteritis. Tuberculosis should be considered in the differential diagnosis of massive gastrointestinal bleeding in the appropriate clinical setting even in an immunocompetent patient.
我们报告一例胃肠道结核病例，该病例同时出现上、下消化道大出血，需要进行两次急诊手术。由于合并闭塞性动脉内膜炎，胃肠道结核出现大出血的情况较为罕见。即使在免疫功能正常的患者中，在适当的临床情况下，鉴别诊断严重胃肠道出血时也应考虑到结核。
