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Intestinal Research 2009;7(1):60-63.
Published online June 30, 2009.
A Tuberculous Peritonitis Presenting as Submucosal Tumors
Chang Soo Choi, Geom Seog Seo, Ki Hoon Kim, Bong Joon Yang, Yong Hwan Ahn, Suck Chei Choi
Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea
점막하 종양의 양상으로 발현한 복막 결핵
최창수, 서검석, 김기훈, 양봉준, 안용환, 최석채
원광대학교 의과대학 내과학교실, 소화기질환연구소
Abstract
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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