著明な食道拡張を伴つた肺結核症の1例

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A male patient of 73 year-old was admitted to our hospital because of cough, sputum and disturbance in swallowing. He was diagnosed as tuberculosis 10 years before admission. He had been treated with various antituberculous drugs, but acid fast bacilli were found occasionally in his sputum. His chest X-mv film revealed large cavity-like shadows and tuberculous lesions in bilateral upper lobes.<BR>We had interpreted these shadows as large tuberculous cavities for many years, because the cavitary shadows were located in tuberculous lesions. However, barium examination of upper gastrointestinal tract proved that the cavity-like shadow in the right lung field was a fist-sized esophageal dilatation. We suppose that the esophageal dilatation was induced by marked shrinkage and traction of tuberculous lesions.
日本結核病学会の論文