一个74岁的患者患有急性肠道阻塞的jejunal结核病:一个不常见的遭遇
Thanveer Suresh1, Sudha Madhavan1, Mohini Singh1
1Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|February 18, 2025
概括
在老年人中,腹肺结核 (TB) 可能导致罕见的关阻塞,含有模糊的症状. 早期诊断和联合治疗是获得更好的结果的关键.
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:
- 腹结核病 (TB) 是小肠阻塞的一个不常见的原因.
- 老年人的非特异性胃肠道症状可以掩盖诸如腹部结核病等严重疾病.
- 由于模糊的症状和稀有性,诊断是具有挑战性的.
研究的目的:
- 在老年患者中报告由腹部结核病引起的关阻塞病例.
- 突出诊断挑战,并强调在差异诊断中考虑腹部结核病的重要性.
- 为了说明有效管理的多学科方法的必要性.
主要方法:
- 一个74岁的男性患有急性胃肠道症状的病例报告.
- 使用放射学检查 (X射线,超声波,CT扫描) 进行诊断.
- 对切除的阴茎进行了他的病理学检查.
- 通过抗结核疗法和手术进行管理.
主要成果:
- 患者出现吐,便秘和腹部不适,后来被诊断为关阻塞.
- 放射学发现表明小肠阻塞.
- 组织病理学证实了结核病与结核病相一致的结核性粒状炎症.
- 成功管理涉及医疗和手术治疗的组合.
结论:
- 在老年患者中,如果有无法解释的胃肠道症状,特别是在流行地区,应考虑腹部结核病.
- 涉及临床,放射学和外科专业知识的多学科管理对于有利的结果至关重要.
- 及时诊断和治疗对于解决由腹结核病引起的关阻塞至关重要.
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