Korean J Gastrointest Endosc > Volume 30(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(3): 164-167.
대량 출혈을 동반한 대장결핵 1예
남궁경영·강명진·임홍목·김미성·고병성·안현택·신향미*
청주성모병원 내과, *병리과
A Case of Colonic Tuberculosis Presenting as Massive Bleeding
Kyung Young Namgung, M.D., Myung Jin Kang, M.D., Hong Mok Im, M.D., Mi Sung Kim, M.D., Byung Sung Ko, M.D., Hyun Taek Ahn, M.D. and Hyang Mi Shin, M.D.*
Departments of Internal Medicine and *Pathology, Cheongju St. Mary's Hospital, Cheongju, Korea
Abstract
Tuberculous involvement of the colon is an uncommon clinical entity. Other colonic disease which should be considered in the differential diagnosis include inflammatory bowel disease such as Crohn's disease, ulcerative colitis and colon cancer. Intestinal tuberculosis most frequently involves the ileocecal area. The common presenting symptoms are abdominal pain, fever, weight loss and malabsorption. Pathologically, tuberculous colitis may present as an ulcerative type, hypertrophic type or in combination. Massive bleeding is said to be very rare even in the ulcerative type because of an obliterative endarteritis. We report a case of colonic tuberculosis presenting with massive bleeding in 52-year-old man with alcoholic liver cirrhosis, which was diagnosed by colonoscopic biopsy and acid-fast stain. (Korean J Gastrointest Endosc 2005;30:164⁣167)
Key Words: Colon, Tuberculosis, Bleeding
주요어: 대장, 결핵, 출혈
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