Perfore Çekum Tüberküloz’unda Radyolojik Yaklaşım: Olgu Sunumu

Abstract

Kronik inflamatuar barsak hastalığı olan, uzun süre tedaviye cevap vermeyen, 25 yaşında bir erkek hasta. Tedavi sırasında çekilen göğüs grafisinde tüberküloz tb ile ilgili bulgular saptandı. Çekilen çift kontraslı baryumlu grafisinde tb özgü bulgular görüldü. Anti-tb tedavisini düzensiz kullanan hastada barsak perforasyonu gelişti. Alınan biyopsi barsak tb’nu doğruladı. Gastrointestinal tb tanısında radyolojik görüntüleme yöntemleri literatür ışığında tartışıldı

Keywords

• Radyolojik bulgular,kolon tüberkülozu

Radıologıcal Approach To Perforated Caecum Tuberculosıs

Abstract

Case report: A 25 years male patient with chronic inflammatory bowel disease of no response to treatment for a long time. During treatment period, tuberculosis related findings was detected at his chest X-ray. At double contrast barium graphy tuberculosis spesific findings was present. The patient was treated with the anti-tuberculosis drugs. But later because of irreguler drug usage bowel perforation developed. Intestinal biopsy material taken during operation confirmed the diagnosis of tuberculosis. Conclusions: Radiological imaging methods in the diagnosis of gastrointestinal tuberculosis was discussed

Keywords

• Radiological findings,tuberculosis of colon

References

1. Marshall B. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993; 88:989-999
2. Chen WS, Su WS, Wang HS, Liang JK, Lin TC. Large bowel tuberculosis and possible influencing factors for surgical prognosis: 30 years experience World J Surg 1997; 21:500-504
3. Kim SY, Kim MJ, Chung JJ, Lee JT, Yoo HS. lymphadenopathy: MR imaging findings. Abdom Imaging 2000; 25: 627-32
4. Zhongma Jie He. İmaging diagnoisi of intestinal tuberculosis. He Hu Xi Za Zhi. 2001; 24(7): 404-6
5. Suri S, Gupta S, Suri R. Computed tomography in abdominal tuberculosis. Br J Radiol 1999; 72:92-98
6. Lundstedt C, Nyman R, Brismar J, Hugosson C, Kagevi I. Imaging of tuberculosis. II abdominal manifestations in 112 patients. Acta Radiol 1996; 37(4): 489- 95
7. Harvath KD, Whelan RL, Weinstein S, Basner AL, Staugaitis SM, Greenebaum E. Isolated sigmoid tuberculosis: report of a case. Dis Colon Rectum 1995; 38: 1327- 1330
8. Smith H. Paradoxial responses during the chemotherapy of tuberculosis J Infect 1987; 15:1-3

9. Seabra J, Coelho H, Barros H, Alves O, Goncalves tuberculosis perforation of the small bowel during antituberculosis therapy J Clin Gastroenterol 1993;16 :320-32 Acute
10. Healy JG, Gorman S, Kumar PJ. Case report: tuberculosis colitis mimicking Crohn’s diseases. Clin Radiol 1992; 46(2): 131-2