Korean J Gastrointest Endosc > Volume 40(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(5): 312-315.
식도 결핵의 내시경초음파 소견: 증례보고
조규현ㆍ정진태ㆍ허창재ㆍ권중구ㆍ김은영ㆍ오훈규*
대구가톨릭대학교 의과대학 내과학교실, *병리학교실
Endoscopic Ultrasonographic Findings of Esophageal Tuberculosis: Case Report
Kyu Hyun Cho, M.D., Jin Tae Jung, M.D., Chang Jae Hur, M.D., Joong Goo Kwon, M.D., Eun Young Kim, M.D. and Hoon Kyu Oh, M.D.*
Departments of Internal Medicine and *Pathology, Catholic University of Daegu School of Medicine, Daegu, Korea
Abstract
Esophageal tuberculosis is a rare disease that is difficult to diagnose with esophagogastroduodenoscopy (EGD), endoscopic ultrasonography (EUS), and computerized tomography. The patients with esophageal tuberculosis show diverse endoscopic findings, but ulcerative lesion in the middle esophagus is usually found. In Korea, the endoscopic ultrasonographic findings of esophageal tuberculosis have not been described. The main endoscopic ultrasonographic findings of esophageal tuberculosis include heterogeneous or homogeneous hypoechoic masses in the esophageal wall with hyperechoic spots inside, interruption of the esophageal adventitia, and mediastinal lymphadenopathy. In this report, we describe two patients with esophageal tuberculosis, and they presented with submucosal tumor. In these patients, esophageal tuberculosis was diagnosed by EGD, EUS, and performing tuberculosis phase chain reaction on the endoscopic biopsies. (Korean J Gastrointest Endosc 2010;40:312-315)
Key Words: Tuberculosis, Esophagus, Submucosal tumor, Endoscopic ultrasonography
주요어: 결핵, 식도, 점막하 종양, 내시경초음파
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