Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 295-299.
수술중 내시경으로 진단된 장출혈을 동반한 공장 결핵 1 예 (A Case of Bleeding Jejunal Tuberculosis Diagnosed with Intraoperative Endoscopy)
김강희, 이동렬, 이규환, 김대영, 조진훈, 박희욱, 옥종한, 윤선희 (Kang Hee Kim, Dong Lyeoul Lee, Kyu Hwan Lee, Dae Young Kim, Jin Hun Joe, Hee Uk Park, Jong Han Ok and Sun Hee Youn)
Abstract
Tuberculosis is a multi-organ disease. The incidence of pulmonary tuberculosis is declining due to improvement in public health, vaccination and the development of anti-tuberculosis medication, but extrapulmonary tuberculosis has become more common, especially in immuno-compromised individuals, AIDS patients and immigrants to western worlds. Gastrointestinal tuberculosis continues to give rise to diagnostic and therapeutic challenges. The jejunal tuberculosis is uncommon and presents a difficult diagnostic problem. Bleeding jejunal tuberculosis is a very rare source of lower gastrointestinal bleeding. We have recently experienced a case of a jejunal tuberculosis which was proven to be a source of gastrointestinal bleeding by intraoperative endoscopy and was confirmed by surgical exploration. This report summarized our experience and review of literature. (Korean J Gastrointest Endosc 19: 295 ∼299, 1999)
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