原発性腸結核の１例

Le résumé fourni par la source

A 57-year-old women, foreigner residing in Japan, admitted to our hospital because of right lower abdominal pain. Whole computed tomography revealed a mass in the terminal ileum and oral intestinal distention without any pulmonary abnormal findings. Endoscopic examination of the lower digestive tract showed an irregularshaped mass in the terminal ileum causing stenosis. The pathological findings revealed the epithelioid cell granuloma accompanied by caseous necrosis. Although smear, PCR and culture for tuberculosis using the tissue were negative, interferon-gamma releasing assay was positive. Thus, the therapeutic diagnosis of intestinal tuberculosis was made and anti-tuberculosis therapy was initiated. The therapy had continued for one year, resulted in the complete remission in terminal ileum. Primary intestinal tuberculosis is extremely rare, however, physicians should be aware of the presence even in subjects without pulmonary involvement and immunodeficiency. Shinshu Med J 73 : 407―412, 2025

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