Intestinal Tuberculosis with a Duodenal Fistula.
- Author:
Eun Bum PARK
1
;
Yoon Tae JEEN
;
Jae Hong AHN
;
Sang jun SUH
;
Sun Jae LEE
;
Nark Soon PARK
;
Bora KEUM
;
Yeon Seok SEO
;
Yong Sik KIM
;
Hoon Jai CHUN
;
Hong Sik LEE
;
Soon Ho UM
;
Sang Woo LEE
;
Jai Hyun CHOI
;
Chang Duck KIM
;
Ho Sang RYU
Author Information
1. Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. ytjeen@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Tuberculosis;
Intestinal tuberculosis;
Duodenal fistula
- MeSH:
Abscess;
Adult;
Diagnosis;
Diarrhea;
Duodenum;
Endoscopy, Digestive System;
Fistula*;
Giant Cells;
Hemorrhage;
Humans;
Inflammation;
Intestinal Obstruction;
Intestinal Perforation;
Polymerase Chain Reaction;
Tuberculosis*;
Ulcer;
Weight Loss
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(5):346-350
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis. A diagnosis of intestinal tuberculosis is difficult as the symptoms and laboratory findings are not specific for the disease. Intestinal tuberculosis may cause various complications, such as intestinal obstruction, intestinal perforation, intraabdominal abscess, intestinal hemorrhage and fistula formation. A duodenal fistula caused by tuberculosis is an especially rare condition. We experienced a case of intestinal tuberculosis with a duodenal fistula as a complication. The patient was a 25-year-old man that presented with weight loss and diarrhea. Esophagogastroduodenoscopy showed a deep ulcerative lesion on the third portion of the duodenum with a fistula opening. A histological finding revealed granulomatous inflammation with multinucleated giant cells. In addition, the result of a Tb PCR assay was positive. After two months of treatment with the appropriate medication, the symptoms improved and the fistula has closed completely. We report the case with a review of the literature.
