면역 능력이 있는 성인에서의 장폐색을 동반한 단일 공장 결핵 1예
Solitary Jejunal Tuberculosis with Intestinal Obstruction in an Immunocompetent Patient
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Intestinal tuberculosis is an infection of the gastrointestinal tract by the Mycobacterium tuberculosis complex. To the best of our knowledge, solitary intestinal tuberculosis accompanied by intestinal obstruction, particularly in the middle of the small intestine, is extremely rare. We report a case of solitary jejunal tuberculosis in a 49-year-old man with no underlying disease. He was admitted a few days after the onset of diffuse abdominal discomfort. Upon evaluation, we initially considered a malignancy of the distal jejunum with ileus due to the presence of a mass. Therefore, he underwent laparoscopic resection of the small bowel. Unexpectedly, the histologic specimen showed a chronic caseating granulomatous lesion with acid-fast bacilli. Ultimately, he was diagnosed with solitary jejunal tuberculosis. He was successfully treated with anti-tuberculosis drugs without any complications.
Abstract
Intestinal tuberculosis is an infection of the gastrointestinal tract by the Mycobacterium tuberculosis complex. To the best of our knowledge, solitary intestinal tuberculosis accompanied by intestinal obstruction, particularly in the middle of the small intestine, is extremely rare. We report a case of solitary jejunal tuberculosis in a 49-year-old man with no underlying disease. He was admitted a few days after the onset of diffuse abdominal discomfort. Upon evaluation, we initially considered a malignancy of the distal jejunum with ileus due to the presence of a mass. Therefore, he underwent laparoscopic resection of the small bowel. Unexpectedly, the histologic specimen showed a chronic caseating granulomatous lesion with acid-fast bacilli. Ultimately, he was diagnosed with solitary jejunal tuberculosis. He was successfully treated with anti-tuberculosis drugs without any complications.
참고문헌 (10)
- Akcakaya A, "Comparison of mechanical bowel obstruction cases of intra-abdominal tumor and non-tumoral origin", World J Surg, 30, pp.1295~1129 (2006)
- Sheer TA, "Gastrointestinal tuberculosis", Curr Gastroenterol Rep, 5, pp.273~278 (2003)
- Global tuberculosis report 2015, "World Health Organization", World Health Organization, ~ (2015)
- "Korea centers for disease control and prevention annual report on the notified tuberculosis in Korea" (2015)[URL]
- 이지연, "Diagnosis and Treatment of Extrapulmonary Tuberculosis", Tuberculosis and Respiratory Diseases, 78(2), pp.47~55 (2015), 대한결핵및호흡기학회
- Horvath KD, "Intestinal tuberculosis: return of an old disease", Am J Gastroenterol, 93, pp.692~696 (1998)
- Choy MC, "Ileocaecal tuberculosis: re-emergence in developed countries", Intern Med J, 43, pp.342~345 (2013)
- Park SH, "Prospective randomized trial of six-month versus nine-month therapy for intestinal tuberculosis", Antimicrob Agents Chemother, 53, pp.4167~4171 (2009)
- Son HJ, "A case of small bowel tuberculosis which was misdiagnosed as small bowel cancer", The 34th Korean Journal of Gastroenterology fall research conference proceedings, pp.135~135 (1995), Korean J Gastroenterol
- 정진수, "정상 면역인 성인에서 위와 소장에 동시에 발생한 무증상의 장결핵", 대한소화기학회지, 66(6), pp.345~349 (2015), 대한소화기학회