食管结核合并结核性腹膜炎1例

食管结核是结核杆菌侵及食管壁导致的一种少见的炎性肉芽肿性病变,其发病率低,易误诊.最容易混淆的疾病是食管癌和食管平滑肌瘤.食管结核常见症状为吞咽困难,胸骨后疼痛,消瘦和发热等,这些症状与食管平滑肌瘤、食管癌比较无特异性,术前诊断较困难.尤其是食管结核合并结合性腹膜炎更是少见.本文报道1例食管结核合并结核性腹膜炎,并结合文献,就诊断及治疗进行复习.

Esophageal tuberculosis with tuberculous peritonitis: a case report

Esophageal tuberculosis is a rare clinical entity diagnosed based on the presence of inflammatory granulomatous lesions caused by Mycobacterium tuberculosis invading the esophageal wall. It is often misdiagnosed as esophageal cancer or esophageal leiomyoma. Esophageal tuberculosis often presents as difficulty in swallowing, chest pain, weight loss and fever. These symptoms are unspecific and are often insufficient to establish a preoperative diagnosis. Esophageal tuberculosis with tuberculous peritonitis is very rare. Here, we report a case of esophageal tuberculosis with tuberculous peritonitis. We also performed a literature review to summarize the diagnosis and treatment of this rare disease.