Massive rectal bleeding due to ileal tuberculosis

被引:6
作者
Watanabe, T [1 ]
Kudo, M [1 ]
Kayaba, M [1 ]
Shirane, H [1 ]
Tomita, S [1 ]
Orino, A [1 ]
Todo, A [1 ]
Chiba, T [1 ]
机构
[1] Kyoto Univ, Grad Sch Med, Dept Gastroenterol & Hepatol, Sakyo Ku, Kyoto 6068507, Japan
关键词
massive rectal bleeding; intestinal tuberculosis; ileum; scintigraphy;
D O I
10.1007/s005350050308
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A patient with massive rectal bleeding due to ileal tuberculosis is reported. Technetium-99m labelled red blood cell scintigraphy indicated hemorrhage from the ileum, and laparotomy was then carried out. A 70cm segment of ileum containing ulcers and erosions was resected, and epitheloid granuloma with Langhans-type giant cell was found in the resected specimen. Massive rectal bleeding is considered a rare presenting symptom of intestinal tuberculosis. Intestinal tuberculosis, including small intestinal tuberculosis, although uncommon, should be taken into consideration as a cause of rectal bleeding.
引用
收藏
页码:525 / 529
页数:5
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