Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 0359020000210060938
Korean Journal of Gastrointestinal Endoscopy
2000 Volume.21 No. 6 p.938 ~ p.942
A Case of Gastric Tuberculosis Presenting with Hematemesis
±¸ÁøÇÏ/Jin Ha Koo
½É»ó±º/ÀÌ°æ¼ö/¼ºÀΰæ/·ùºÀÃá/¹®¿ø/ÀÌ»ó¼ö/¹Úµ¿ÀÏ/±è¿µÈ£/ÀÌdz·Ä/±èÀçÁØ/¹é½Â¿î/ÀÌÁ¾Ã¶/ÃÖ±Ô¿Ï/Sang Goon Shim/Kyung Su Lee/In Kyung Sung/Bong Choon Ryu/Won Moon/Sang-Soo Lee/Dong Il Park/Young-Ho Kim/Poong-Lyul Rhee/Jae Jun Kim/Seung Woon Paik/Jong Chul Rhee/Ky
Abstract
Gastric tuberculosis is quite rare and usually combined with pulmonary tuberculosis. Its diagnosis is so difficult as it is often unsuspected. We report a patient with gastric tuberculosis who presented with hematemesis in Korea. Upper endoscopy
showed
large, deep penetrating ulcer containing an exposed vessel and adherent clot in the body. Gastric biopsies revealed only chronic inflammation and no evidence of granuloma or malignancy. Diffuse mural thickening was noted on abdominal CT. The
diagnosis
was made postoperatively following gastrectomy for bleeding gastric ulcer. Microscopic examination of resected stomach showed peptic detritus and noncaseating granulomas. However, multiple caseating granulomas with Lagerhan's giant cells were
found
on
the examination of lymph nodes. The patient was treated with antituberculous therapy for 12 months without any complications.
KEYWORD
FullTexts / Linksout information
 
Listed journal information
ÇмúÁøÈïÀç´Ü(KCI) KoreaMed ´ëÇÑÀÇÇÐȸ ȸ¿ø