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Tuberculosis of the Terminal Ileum with Multiple Granular Lesions, Report of a Case Hajime Watahiki 1 , Mitsuhito Tatami 1 , Hideaki Yamamoto 1 , Hajime Nagata 3 , Hiroshi Ogawa 4 1Department of Gastroenterology, Seirei Mikatahara General Hospital 3Department of Sugery, Seirei Mikatahara General Hospital 4Department of Pathology, Seirei Mikatahara General Hospital Keyword: 腸結核 , エルシニア腸炎 , 回腸末端部リンパ濾胞増殖症 pp.187-194
Published Date 1993/2/25
DOI https://doi.org/10.11477/mf.1403106055
  • Abstract
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 We experienced a case of tuberculosis in the terminal ileum with multiple granular lesions, without any ulcers or scars.

 The patient was a 30-year-old woman. Her chief complaints were epigastralgia and fever. X-ray examination of the chest revealed no abnormalities. Examinations on admission showed leukocytosis, positive CRP and negative tuberculin test.

 Barium enema study of the terminal ileum showed a coarse granular pattern of the mucosa. Endoswpic study of the terminal ileum clarified multiple granular lesions without any ulcers or scars. Biopsy was performed and we could find many granulomas without caseating necrosis.

 Appendectomy and resection of swelling lymph nodes in the terminal ileum were performed. In histological study of the lymph nodes some granulomas with caseating necrosis were found and we diagnosed these lesions as tuberculosis.

 After this patient had been given a trial of antituberculosis therapy for seven months, these lesions were not detected in the terminal ileum.


Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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