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KMID : 0359020070350050346
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 5 p.346 ~ p.350
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Intestinal Tuberculosis with a Duodenal Fistula
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Park Eun-Bum
Jean Yoon-Tae
Ahn Jae-Hong
Suh Sang-Jun
Lee Sun-Jae
Park Nark-Soon
Keum Bo-Ra
Seo Yeon Seok
Kim Yong-Sik
Chun Hoon-Jai
Lee Hong-Sik
Um Soon-Ho
Lee Sang-Woo
Choi Jai-Hyun
Kim Chang-Duck
Ryu Ho-Sang
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Abstract
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Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis. A diagnosis of intestinal tuberculosis is difficult as the symptoms and laboratory findings are not specific for the disease. Intestinal tuberculosis may cause various complications, such as intestinal obstruction, intestinal perforation, intraabdominal abscess, intestinal hemorrhage and fistula formation. A duodenal fistula caused by tuberculosis is an especially rare condition. We experienced a case of intestinal tuberculosis with a duodenal fistula as a complication. The patient was a 25- year-old man that presented with weight loss and diarrhea. Esophagogastroduodenoscopy showed a deep ulcerative lesion on the third portion of the duodenum with a fistula opening. A histological finding revealed granulomatous inflammation with multinucleated giant cells. In addition, the result of a Tb PCR assay was positive. After two months of treatment with the appropriate medication, the symptoms improved and the fistula has closed completely. We report the case with a review of the literature. (Korean J Gastrointest Endosc 2007;35:346-350)
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KEYWORD
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Tuberculosis, Intestinal tuberculosis, Duodenal fistula
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