Masif Alt Gastrointestinal Sistem Kanamasının Nadir Bir Nedeni: İntestinal Tüberkülozis

İntestinal tüberkülozis, gastrointestinal sistemin tüberküloz basili ile enfekte olma halidir. En sık tutulan bölge ileoçekal alandır. Tutulum yerlerinin benzer olması Crohn hastalığı ile dikkatli bir şekilde ayırıcı tanısının yapılmasını gerektirir. İntestinal tüberküloz klinikte sıklıkla non-spesifik şikayetlerle kendini belli eder. Kanama bu hastalarda sıklıkla kronik seyirlidir. Masif kanama literatürde çok nadir olarak bildirilmiştir. Biz burada cerrahi barsak rezeksiyonu ile hemostazın sağlanabildiği intestinal tüberkülozlu hastamızı sunduk. ,

A Rare Cause of Massive Lower Gastrointestyinal System Bleeding: Intestinal Tuberculosis

Intestinal tuberculosis is the infection of the gastrointestinal tract by tuberculosis bacilli. The most commonly affected area is the ileocecal region. A careful differential diagnosis between Crohn’s disease and intestinal tuberculosis is required because similar areas are involved in both these diseases. Intestinal tuberculosis often presents non-specific complaints in the clinic. Chronic bleeding is often observed in these patients. However, massive bleeding has been reported very rarely in the literature. Herein, we present a patient with intestinal tuberculosis for whom hemostasis was achieved by surgical bowel resection.

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  • 1- Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol 1998;93:692-6. 2- Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol 2002;12:312-23. 3- Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol 2014;20:14831-40. 4- Ndububa DA, Olasode BJ, Olatunde LO. Abdominal tuberculosis with fatal gastro-intestinal haemorrhage. Cent Afr J Med 1997;43:175-7. 5- Verma P, Kapur BM. Massive rectal bleeding due to intestinal tuberculosis. Am J Gastroenterol 1979;71:217-9. 6- Kela M, Agrawal A, Sharma R, Agarwal R, Agarwal VB. Ileal tuberculosis presenting as a case of massiverectal bleeding. Clin Exp Gastroenterol 2009;2:129-31. 7- Hu ML, Lee CH, Kuo CM, et al. Abdominal tuberculosis: analysis of clinical features and outcome of adult patients in southern Taiwan. Chang Gung Med J 2009;32:509-16. 8- Adegbola SO, Sahnan K, Warusavitarne J, Hart A, Tozer P. Anti-TNF therapy in Crohn's disease. Int J Mol Sci 2018;19:pii: E2244. 9- Goyal P, Shah J, Gupta S, Gupta P, Sharma V. Imaging in discriminating intestinal tuberculosis and Crohn's disease: past, present and the future. Expert Rev Gastroenterol Hepatol 2019;13:995-1007.