Cecal Tuberculosis Mimicking Submucosal Tumor

被引：3

作者：

Kawaratani, Hideto ^{[1
]}

Moriya, Kei ^{[2
]}

Ishida, Kouji ^{[2
]}

Noguchi, Ryuichi ^{[2
]}

Namisaki, Tadashi ^{[2
]}

Takaya, Hiroaki ^{[2
]}

Douhara, Akitoshi ^{[2
]}

Yoshiji, Hitoshi ^{[2
]}

Yamao, Junichi ^{[1
]}

Fujii, Hisao ^{[1
]}

Fukui, Hiroshi ^{[2
]}

机构：

[1] Nara Med Univ, Dept Endoscopy & Ultrasound, Kashihara, Nara, Japan

[2] Nara Med Univ, Dept Gastroenterol & Endocrinol, Kashihara, Nara, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 14期

关键词：

cecal tuberculosis; colonoscopy; submucosal tumor; QuantiFERON-TB-Gold; INTESTINAL TUBERCULOSIS; DIAGNOSIS; COLONOSCOPY; DISEASE;

D O I：

10.2169/internalmedicine.55.5139

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 41-year-old man presented with abdominal fullness in late August 2012. Abdominal CT showed ileus caused by stenosis of the ileum and an enlargement of the ileocecal lymph nodes. Colonoscopy showed a steep elevated protruding tumor in the cecum, with multiple ulcerative lesions on top. A pathological analysis of the lesions confirmed chronic inflammatory infiltration and epithelioid granuloma. The findings of a tuberculin skin test and QuantiFERON-TB-Gold test were positive. As a result, we treated the patient for tuberculosis of the cecum. After 4 months of treatment, colonoscopy confirmed the disappearance of the tumor. In conclusion, intestinal tuberculosis should be considered in the differential diagnosis when protruding lesions appear in the cecum.

引用

页码：1859 / 1863

页数：5

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