Pediatric Gastroenterology, Hepatology & Nutrition
- Volume 2 Issue 2
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- Pages.245-249
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- 1999
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
A Case of Intestinal Tuberculosis Diagnosed by Colonoscopy
대장 내시경으로 진단한 장결핵 1례
- Bae, Sang-Young (Department of Pediatrics, College of Medicine Ewha Womans University) ;
- Park, Sun-Joo (Department of Pediatrics, College of Medicine Ewha Womans University) ;
- Nam, Seung-Yeon (Department of Pediatrics, College of Medicine Ewha Womans University) ;
- Jung, Ji-A (Department of Pediatrics, College of Medicine Ewha Womans University) ;
- Seo, Jeong-Wan (Department of Pediatrics, College of Medicine Ewha Womans University) ;
- Lee, Sun-Wha (Department of Radiology, College of Medicine Ewha Womans University)
- 배상영 (이화여자대학교 의과대학 소아과학교실) ;
- 박선주 (이화여자대학교 의과대학 소아과학교실) ;
- 남승연 (이화여자대학교 의과대학 소아과학교실) ;
- 정지아 (이화여자대학교 의과대학 소아과학교실) ;
- 서정완 (이화여자대학교 의과대학 소아과학교실) ;
- 이선화 (이화여자대학교 의과대학 방사선과학교실)
- Received : 1999.08.13
- Accepted : 1999.09.07
- Published : 1999.09.30
Abstract
Childhood intestinal tuberculosis is difficult to diagnose for its protean clinical manifestations, especially in cases without pulmonary involvement. Differential diagnosis with Crohn's disease, inflammatory bowel disease and other malignancy is also important. Surgery has often been required for pathologic confirmation or therapy. Colonoscopy may be performed safely under consciousness sedation in children for bacteriologic and histopathologic confirmation of the biopsy specimen in addition to gross appearance of the lesion. We have experienced a case of intestinal tuberculosis presenting with chronic abdominal pain, diarrhea, weight loss and anemia in a 9 year old girl who was diagnosed by a colonoscopic examination and culture of the biopsy specimen from the ascending colon. The patient was managed with antituberculous drugs and recovered uneventfully.
저자들은 심한 빈혈과 복통을 주소로 내원한 폐결핵을 동반하지 않은 9세 여아에서 시행한 대장내시경 소견과 생검 조직의 배양 검사로 진단하고 항결핵제 치료로 증상이 호전된 예를 경험하여 보고하는 바이다.