結核性十二指腸主乳頭炎の1例  [in Japanese] A case of tubercular papillitis of Vater  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

患者は47歳,男性.検診で十二指腸の異常を指摘され受診した.上部消化管内視鏡検査で主乳頭の白苔をともなう腫大,辺縁の多発性小結節がみられ,生検で非乾酪性肉芽腫が検出された.大腸内視鏡検査も施行したところ右側結腸に典型的な結核性病変が認められ,主乳頭病変も結核性変化であることが疑われた.抗結核薬投与後,大腸病変ともども治癒が得られ,まれな病態であるが結核性十二指腸主乳頭炎と診断された.<br>

A 47-year-old man presented with an abnormality of the duodenum detected on a health check endoscopy. Further endoscopy revealed swelling of the papilla of Vater with a whitish exudate and surrounding small nodules, which biopsy revealed to be non-caseating granulomas. Colonoscopy showed typical tubercular lesions in the colon on the right side, so we speculated that the lesions of the papilla of Vater were tubercular. After the administration of anti-tubercular drugs, both the duodenal lesion and the colonic lesions improved. Therefore, the papilla of Vater lesion was diagnosed as tubercular, although such cases are extremely rare.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 107(2), 248-256, 2010-02-05

    The Japanese Society of Gastroenterology

References:  30

Cited by:  2

Codes

  • NII Article ID (NAID)
    10026135051
  • NII NACSIS-CAT ID (NCID)
    AN00192124
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    04466586
  • Data Source
    CJP  CJPref  J-STAGE 
Page Top