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KMID : 0378019870300020047
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New Medical Journal
1987 Volume.30 No. 2 p.47 ~ p.57
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The Radiological Findings of Small Large Bowel Tuberculosis
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Abstract
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The radiological findings of 54 patients of bowel tuberculosis were analyzed and presented in Incho Municipal Hospital, from Jan. 1981. to Aug. 1985.
10 cases of bowel tuberculosis were proved by operation and histopathology, 17 cases were prove c by ascitic fluid aspiration cytology, and 27 cases were proved by clinical, radiological findings and respon to antituberculosis therapy.
The ratio of male and female was 4:6 and peak age incidence was between 21 and 30.
72% of patients with intestinal tuberculosis disclosed radiographic evidence of pulmonary tuberculosis In this study, intestinal tuberculosis had not closely related to pulmonary tuberculosis in severity. There is no pathognomonic radiological findings in intestinal tuberculosis and their manifestations arprotean, and it is very difficult to differentiate tuberculosis from other inflammatory disease of malignancy However, there are several suggestive findings of intestinal tuberculosis, such as, multiple nodular fill ing defects with asymmetrical narrowing and stricture in relative short segement, irregular contour imesenteric border by mesenteric lymphnode involvement and multiplicity.
Still, in patients with complaining vague abdominal symptom and sign, the radiological diagnosis is the most reliable tool in the decision of exsistance of organic lesions and suggestion of tuberculosis in intestinal tract and its extent.
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KEYWORD
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