重温肠结核病时代:一个以小肠阻塞为例的病例,具有经典的成像学和组织病理学外观
Kajal Hatgoankar1, Anand Hatgaonkar2, Pratibha Dawande1
1Pathology, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Nagpur, IND.
这项案例研究强调了肠结核病 (ITB) 是印度小肠阻塞的原因. 早期怀疑和诊断至关重要,特别是在高风险人群中,以管理这一重大全球健康问题.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 结核病 (TB) 仍然是一个重大的全球健康问题,印度承担了相当大的负担.
- 肠结核病 (ITB) 可能出现模仿其他胃肠道疾病的症状,使诊断复杂化.
研究的目的:
- 介绍一个49岁男性因肠结核病而出现小肠阻塞的案例研究.
- 强调在特有地区肠道阻塞患者考虑ITB的重要性.
主要方法:
- 一个涉及患有腹部疼痛和膨胀的病人的案例研究.
- 诊断成像包括直立腹部放射和腹部对比度增强计算机断层扫描 (CT).
- 切除肠道组织的手术干预和组织病理学检查,包括Ziehl-Neelsen (ZN) 染色以检测酸快菌根 (AFB).
主要成果:
- 放射学和CT检测显示,远距离阴茎和骨有多次狭窄,导致小肠阻塞.
- 观察到带有中枢亡和瘤的中腔和逆上皮质淋巴腺病变.
- 组织病理学证实了多个状颗粒瘤和纤维化,通过ZN染色确定了AFB,表明ITB.
结论:
- 在结核病流行地区出现肠道阻塞的患者中,应高度怀疑肠道结核病.
- 高风险人群,包括免疫力低下,营养不良或患有糖尿病等并发病症的人群,需要对ITB提高警.
- 及时诊断和管理对于ITB病例呈现为肠道阻塞的良好结果至关重要.
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