Ulceración perianal: Dos casos de una rara manifestación de tuberculosis extrapulmonar

• GONZALO URREJOLA S ^[1] ; RICARDO VILLALÓN C ^[1] ; NATALIE RODRÍGUEZ N ^[2]
  1. [1] Hospital Barros Luco Trudeau Servicio de Cirugía
  2. [2] Hospital Barros Luco Trudeau Servicio de Anatomía Patológica
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 2, 2010, págs. 220-222
• Idioma: español
• Títulos paralelos:
  • Perianal tuberculosis: Report of two cases
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• Resumen

  • Perianal tuberculosis is an uncommon variant of extra pulmonary tuberculosis and mimics other common perianal conditions. We report two patients with perianal tuberculosis. An 82-year-old male presenting with purulent perianal discharge and weight loss. A pelvic magnetic resonance imaging showed a low trans sphincteric anorectal fistula with abscess formation. A fistulectomy was performed and the pathological study showed a granulomatous-tuberculous chronic inflammation. Mycobacteria were recovered from gastric contents. A 48-year-old male with the same symptoms. An ulcerated lesion in the anal region was biopsied, disclosing a granulomatous inflammatory process with Ziehl-Nielsen stainable organisms.