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Tuberculosis of Small Intestine: Report of a case N. Takeda 1 , T. Nakayama 1 , Y. Shimoda 1 , S. Kitagawa 1 , H. Nishihara 1 , M. Matsui 1 , K. Matsuura 1 , K. Watanabe 2 1Department of Radiology, Faculty of Medicine, Kyushu University 22nd Department of Pathology, Kyushu University pp.1519-1525
Published Date 1977/11/25
DOI https://doi.org/10.11477/mf.1403112469
  • Abstract
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 A 56-year-old man was admitted with the complaints of constipation and vague abdomimal pain. Routine barium meal studies showed multiple diseased segments with normal skip areas in between in the small intestine and two extensive irregular ulcers in the ascending colon and cecum. Multiple irregular ulcers with sharp margins were well demonstrated by double contrast study and compression technique of the small intestine. Some showed converging mucosal folds and overhanging shelves. There were two localized annular strictures with sharp margins and loss of mucosal folds. These roentgenological appearances are consistent with intestinal tuberculosis. Mycobacterium tuberculosis was cultured from stool and sputum.

 Tne administration of antituberculous drugs was started on Feb. 18, 1976, and he responded vaell. However, he started to develop intestinal obstructions since May, 1976, and he finally underwent laparotomy on July 28, 1976. There were 24 ulcers in the small intestine resected.

 For the X-ray diagnosis of small intestine, the demonstration of the mucosal details is important. To achieve this, the double contrast study and compression technique are indispensable. The shape of the ulcer with or without convergence of mucosal folds can be well demonstrated with these techniques.


Copyright © 1977, 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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