A case of intestinal tuberculosis with white submucosal tumor-like lesion

DOI Web Site 7 References
  • Soga Sara
    Department of Gastroenterology, Tokyo Metropolitan Ohtsuka Hospital
  • Tanaka Kei
    Department of Gastroenterology, Tokyo Metropolitan Ohtsuka Hospital
  • Kurata Hitoshi
    Department of Gastroenterology, Tokyo Metropolitan Ohtsuka Hospital

Bibliographic Information

Other Title
  • 白色粘膜下腫瘍様隆起の内視鏡所見を認め，腸結核が疑われた一例

Search this article

Abstract

<p>We report a case of a 38-year-old man who complained of abdominal pain and was diagnosed with intestinal tuberculosis. Ileocolonoscopy revealed white submucosal tumor (SMT) -like lesion at the terminal ileum and cecum. A biopsy of a white SMT-like lesion revealed caseating granulomas on pathological examination. He was diagnosed with intestinal tuberculosis, and received antituberculous therapy. A combination of rifampicin, isoniazid, pyrazinamide, and ethambutol was used for 2 months, followed by a combination of rifampicin and isoniazid for 4 months.</p><p>Endoscopic findings of intestinal tuberculosis are typically ring-shaped and band-shaped erosions and ulcers, in contrast, SMT-like lesion are rare. According to the Kuromaru's classification (pathological classification of intestinal tuberculosis), the white SMT-like lesion is classified as an early image of tuberculosis. In fact, in this case, SMT-like lesion led to the diagnosis of intestinal tuberculosis. Therefore, although SMT-like lesion is rare as a finding of intestinal tuberculosis, it should be included in one of the differential diseases.</p>

Journal

References(7)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top