| A Tuberculous Peritonitis Presenting as Submucosal Tumors |
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Chang Soo Choi, Geom Seog Seo, Ki Hoon Kim, Bong Joon Yang, Yong Hwan Ahn, Suck Chei Choi |
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Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea
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| 점막하 종양의 양상으로 발현한 복막 결핵 |
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최창수, 서검석, 김기훈, 양봉준, 안용환, 최석채 |
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원광대학교 의과대학 내과학교실, 소화기질환연구소 |
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| Abstract |
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Tuberculous peritonitis is not an uncommon disease, but the diagnosis is often missed and delayed because of the variability of disease presentation and non-specific clinical manifestations. In this report, we discuss a rare case of tuberculous peritonitis which presented as a submucosal mass in the colon. A 61-year-old woman registered at our hospital for a physical check-up. She had a weight loss of 3 kg over the past 6 months. The colonoscopic findings showed submucosal lesions (4 and 6 mm in size, yellow in color, and hard) which were suspected to be a carcinoid tumor. However, an abdomen-pelvic CT scan and laparoscopic findings suggested peritoneal tuberculosis. The result of laparoscopic biopsies was chronic granulomatous inflammation without caseous necrosis. After the standard anti-tuberculosis medications for 6 months, the previous lesions on the CT scan had resolved. (Intest Res 2009;7:60-63) |
| Key Words:
Submucosal Tumor, Colon, Peritonitis, Tuberculous |
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