巨大的上胃肠道出血从中东结核性食道
Nada Faquir1, Fatimazahra Belabbes1, Nawal Bouknani2
1Gastroenterology and Proctology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR.
Cureus
|January 29, 2026
概括
中原结核病是一种罕见的上部胃肠道出血 (UGIB) 的原因. 经 bronchial needle aspiration (EBUS-TBNA) 诊断出这种情况,并且通过动脉栓塞控制出血.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 上部胃肠道出血 (UGIB) 是一个频繁的紧急情况,通常来自或侵蚀.
- 罕见的原因包括血管形和结核病等感染.
- 带有食道干扰的中结核病是极为罕见的UGIB病因.
研究的目的:
- 报告一个由中枢结核病引起的大规模UGIB的独特病例.
- 为了突出EBUS-TBNA在深层中关节病变的诊断效用.
- 在这种罕见的情况下,强调多学科管理的作用.
主要方法:
- 一名43岁的男性出现了大规模的血凝和血液动力学不稳定.
- 诊断工作包括内镜,内镜超声波,CT和EBUS-TBNA.
- 治疗包括过动脉栓塞和抗结核治疗.
主要成果:
- 内镜检查显示了食道,有活跃的出血.
- 埃布斯-TBNA确定了结核病与结核病相一致的结核性颗粒状炎症.
- 跨动脉栓塞成功控制出血,导致有利的结果.
结论:
- 带食道延伸的中结核是无法解释的UGIB的关键差异诊断.
- 在其他活检失败时,EBUS-TBNA对于诊断深层中结核有价值.
- 跨动脉栓塞和早期的多学科护理是管理这种罕见疾病的关键.
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