Korean J Gastrointest Endosc > Volume 17(4); 1997 > Article
Korean Journal of Gastrointestinal Endoscopy 1997;17(4): 569-573.
증례 : 식도 위장관 ; 대장암으로 오인된 장결핵 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Intestinal Tuberculosis Presenting a Tumor-like Mass )
함준수, 기춘석, 박경남, 이민호, 윤병철, 최호순, 한동수, 이오영, 손주현, 김진배, 전용철 (Joon Soo Hahm, Choon Suhk Kee, Kyung Nam Park, Min Ho Lee, Byung Chul Yoon, Ho Soon Choi, Dong Soo Han, Oh Young Lee, Joo Hyun Sohn, Jin Bae Kim and Yong Cheol Geon)
Intestinal tuberculosis is a secondary infection from swallowing of infected sputum of pulmonary tuberculosis patient. The diagnosis is usually difficult there are no specific radiological signs and false negatives are often found in biopsy material obtained by colonoscopy since the process is mainly submucous. A lesion which is visualized on colonoscopic examination is rather confusing in that one will find a firm tumor mass occupying the lumen of the bowel which is most suggestive of carcinoma. We experienced a case of intestinal tuberculosis presenting a ulcerofungating mass occupying the lumen of the ascending colon, confirmed by colonoscopc biopsy in a 36-year-old man. He received anti-tuberculosis medication far 18months. The mass initially found totally disappeared as shown by a follow-up colonoscopy. (Korean J Gastrointest Endosc 17: 569-573, 1997)
Key Words: Intestinal tuberculosis , Ulcerofungating mass , Colonoscopy
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