KMID : 0614620080520050320
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Korean Journal of Gastroenterology 2008 Volume.52 No. 5 p.320 ~ p.324
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A Case of Synchronous Intestinal Tuberculosis
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Kim Joo-Hyung
Jeon Yong-Cheol Kim Tae-Yeob Eun Chang-Soo Sohn Joo-Hyun Han Dong-Soo Jang Jae-Jung Park Yong-Wook
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Abstract
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Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis and should be differentiated from the
inflammatory bowel diseases and malignancy such as Crohn¡¯s disease, ulcerative colitis, amebic colitis, and colon
cancer. Most frequently involved sites (75% of cases) are the terminal ileum and cecum. Other sites of involvement,
in order of frequency, are ascending colon, jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon, and rectum. Intestinal tuberculosis simultaneously involving the stomach and colon has been very rarely reported. Recently, we experienced a case of synchronous gastric and colonic ulcers with granulomatous inflammation. Although we did not find acid fast bacilli and the culture test was negative, empirical anti-tuberculosis therapy resulted in dramatic clinical and endoscopic improvement. We report a rare case of multifocal gastrointestinal tuberculosis with a review of literature.
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KEYWORD
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Intestinal tuberculosis, Synchronous, Stomach, Colon
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