小腸穿孔で発症した原発性腸結核の1 例

• 谷山 大輔

  東京都済生会中央病院総合診療内科 済生会横浜市東部病院総合内科

• 平尾 磨樹

  東京都済生会中央病院総合診療内科

• 小鮒 美香

  東京都済生会中央病院総合診療内科

• 油田 さや子

  東京都済生会中央病院総合診療内科

• 北原 光夫

  東京都済生会中央病院総合診療内科 農林中央金庫健康管理室

書誌事項

タイトル別名

• A Case of Primary Intestinal Tuberculosis in which Small Intestine Perforation Developed
• 症例 小腸穿孔で発症した原発性腸結核の1例
• ショウレイ ショウチョウ センコウ デ ハッショウ シタ ゲンパツセイ チョウ ケッカク ノ 1レイ

抄録

We report herein on a case of the primary intestinal tuberculosis in which small intestine perforation developed. A 60-year-old man with congestive heart failure developed fever and sudden onset of abdominal pain while he was in the hospital. Computed tomography of the abdomen showed a large amount of free-air and the thickening of a part of the ileum. Perforation of the gastrointestinal tract was diagnosed. The patient underwent emergency exploratory laparotomy and a partial resection of the ileum was performed. The presence of nodules in the ileum suggested possible tuberculosis of the intestine. Pathologically caseating epithelioid granulomas were noted and the diagnosis of tuberculosis of the ileum was made although microbiologically tuberculous bacilli were not documented. The patient was successfully treated with antituberculosis chemotherapy. Although intestinal tuberculosis is a rare cause of intestinal perforation, it is important to include intestinal tuberculosis as one of the cases.

収録刊行物

• 感染症学雑誌

  感染症学雑誌 88 (2), 171-175, 2014

  一般社団法人 日本感染症学会

キーワード

• intestinal tuberculosis
• perforation

詳細情報

• CRID: 1390282680028230144
• NII論文ID: 130005868588
• NII書誌ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi.88.171
• ISSN: 1884569X
• ISSN: 03875911
• NDL書誌ID: 025440224
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I025440224
• Web Site: https://www.jstage.jst.go.jp/article/kansenshogakuzasshi/88/2/88_171/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2014351058
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可