Korean Journal of Gastrointestinal Endoscopy 2001;23(1): 36-40.
십이지장암으로 오인된 비후형 십이지장 결핵 1 예 ( A Case of Hypertrophic Form of Duodenal Tuberculosis Mimiking Duodenal Cancer )
김형완(Hyoung Wan Kim),임선희(Seon Hee Lim),김태형(Tae Hyong Kim),김준완(Joon Wan Kim),김봉룡(Bong Ryong Kim),박정진(Jeong Jin Park),장유현(Yoo Hyun Jang),이계회(Kyn Heni Lee),최신은(Sin Eun Choi)
Abstract
The prevalence of intestinal tuberculosis has been markedly decreased with the development of antituberculoug chemotherapy, improved economic conditions, preventive medicine and early detection and treatment of pulmonary tuberculosis. An even more impressive resurgence of pulmonary and extrapulmonary tuber culosis has been seen in recent years among persons infected with the human immunodeficiency virus. The most common signs of infeshna1 tuberculosis is the ileocecal region, and duodenum is a rare site. Symptoms and signs of duodenal tuberculosis are nonspecific. The gross pathologic appearance of the duodeznal tuberculous lesions has to its traditional categoriration into three farms. 1) ulcerative, 2) hypertrophic, and 3) ulcerohypertrophic (mixed). Hypertrophic lesions of the duodenal tuberculosis should be differentiated from duodenal adenocarcinoma and lymphoma. We herein report a case of duodenal tuberculosis presenting as intraluminal protruding mass in gastroduodenoscopy and multiple intraabdomina1 lymphadenopathy on abdominal CT. We have confirmed the duodena1 tuberculosis by endoscopic biopsy, and review the current literatures. (Korean J Gastroluetest Endosc 2001;23:30-40)
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