폐결핵에 속발된 식도와 십이지장 결핵 1예 |
강석진·김태효·이원현·유승석·하 종·최순필·강동오·배인규·김현진·이옥재 |
경상대학교 의학전문대학원 내과학교실, 건강과학원 |
A Case of Tuberculosis of the Esophagus and Duodenum Associated with Pulmonary Tuberculosis |
Seok Jin Kang, M.D., Tae Hyo Kim, M.D., Won Hyun Lee, M.D., Seung Suk You, M.D., Jong Ha, M.D., Sun Pil Choi, M.D., Dong O Kang, M.D., In Gye Bae, M.D., Hyun Jin Kim, M.D. and Ok Jae Lee, M.D. |
Gyeongsang National University School of Medicine, Jinju, Korea |
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Abstract |
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Esophageal and duodenal tuberculosis are rare form of gastrointestinal tuberculosis. The common complications due to esophageal and duodenal tuberculosis are fistulous communications with the adjacent structures, perforation, obstruction, and upper gastrointestinal bleeding. Massive bleeding in esophageal and duodenal tuberculosis is quite rare. We encountered a case of a 55-year-old male who presented with hematemesis and melena. Esophageal and Duodenal tuberculosis with a duodenal fistula was diagnosed by an endoscopic and radiology examination. He improved after treatment with anti-tuberculosis medication over a 9 month period. We report this case of esophageal and duodenal tuberculosis associated with pulmonary tuberculosis with a review of the relevant literature. (Korean J Gastrointest Endosc 2007;35:165-169) |
Key Words:
Pulmonary tuberculosis, Esophageal tuberculosis, Duodenal tuberculosis, Duodenal fistula |
주요어:
폐결핵, 식도결핵, 십이지장 결핵, 십이지장 샛길 |
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