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이동수,정강욱,황도연,이형화,김대현,김영성,곽동혐 대한내과학회 2003 대한내과학회지 Vol.65 No.1
Isolated rectal tuberculosis commonly involves sigmoid, ascending, or transverse colon. Rectal involvement in tuberculosis is uncommon and poorly characterized. Isolated rectal tuberculosis was defined as focal lesions of rectum in the abscence of demonstrable lesions in the small and large bowel. Diagnosis of rectal tuberculosis was based on characteristic endoscopic appearance of lesions, histopathologic feature of tuberculosis in biopsy material and response to antitubercular therapy. Three patients with isolated rectal tuberculosis were seen at Kwak's hospital. The lesions observed was classified according to macroscopic morphology as follows: ulcerative, hypertrophic and ulcero-hypertrophic. Clinical manifestations were non-specific and consists of rectal bleeding, fever, weight loss, constipation and abdominal pain. One of the three patients had coexisting tuberculous pleurisy. Response to antitubercular chemotherapy was good.(Korean J Med 64:96-100, 2003) 저자들은 장결핵 중 발생 부위상 드문 곳으로 알려진 직장에 발생한 고립성 결핵을 3예 경험하였기에 문헌고 찰과 함께 보고하는 바이다.