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A CASE OF DUODENAL STRICTURE DUE TO TUBERCULOSIS Kazuya Shibasaki 1 1Hokkaido Center for Adults' Diseases Obihiro pp.357-361
Published Date 1969/3/25
DOI https://doi.org/10.11477/mf.1403110986
  • Abstract
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 A 34-year-old male, who had previous history of lung tuberculosis, was admitted to the authors' hospital, because of severe, recurrent vomiting of ten days' duration. He had had since half a year ago epigastric distress, nausea, and loss of appetite.

 X-ray study of the patient disclosed a high-grade stricture in the pars descendens of the duodenum. The constricted region looked like a gourd, with slight marginal rigidity.

 The location of the stricture suggested the existence of anuular pancreas, but marginal rigidity was taken into account, and under tentative diagnosis of intestinal stricture due to tuberculous scar formation, the patient underwent operation. At that time, he was in such a poor state that, instead of intestinal resection, a longitudinal section was done in the constricted part. After making sure that the thumb of the operating surgeon easily passes through the constriction, the incised part was transversely sutured for two layers. The existence of intestinal tuberculosis was confirmed by histopathological study of specimens taken from the incised region. After the operation chemotherapy is being continued. The patient is making favorable progress toward recovery.

 This case is described here in detail, because it is believed to be a rare case in gastsrointes tinalroentogenology.


Copyright © 1969, 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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