以渗出性腹水为首发表现的克罗恩病1例  

Exudative ascites as initial presentation of Crohn's disease: a case report

作　　者：刘玉然[1,2] 邸菁华[1] 张晓岚[1] 房澍名[1] 任锡玲[1] 

机构地区：[1]河北医科大学第二医院消化科,河北省石家庄市050000 [2]深泽县医院,河北省深泽县052560

出　　处：《世界华人消化杂志》2008年第35期4027-4029,共3页World Chinese Journal of Digestology

摘　　要：患者,女性,因腹胀腹痛乏力1mo入院.B超示腹部大量游离液体.肠镜见末端回肠大小不等的5个阿弗他溃疡,溃疡之间黏膜正常.病理见黏膜及黏膜下大量炎症细胞浸润及非干酪样坏死性肉芽肿.诊断为"克罗恩病".予以奥沙拉嗪口服,后患者腹痛、腹胀减轻,腹水消退.1mo后复查B超示腹水消失,肠镜仅见末端回肠一小溃疡,余未见异常.A 52-year-old woman was admitted to our hospital for abdominal pain, abdominal distension and fatigue. Abdominal ultrasonography confirmed the ascites. Coloscopy examination revealed five aphthous ulcers of different sizes with the normal mucosa among the ulcers. There was a large amount of inflammatory cells and non-caseous granulomas in the mucosa and submucosa. So the diagnosis of Crohn＇s disease was established. After treatment with olsalazine, the symptoms of the patient were relieved and ascites were diminished. One month later, abdominal ultrasonography revealed no ascites and coloscopy only found a small ulcer in the terminal ileum.

关 键 词：克罗恩病 腹腔积液 肠结核 

分 类 号：R574[医药卫生—消化系统]