Anh N.M.C (42 tuổi, quận Hải Châu), tiền sử đau bụng vùng hố chậu phải đã lâu, không sốt, đã từng được khám và điều trị với nhiều chẩn đoán khác nhau. Gần đây, vì đau nhiều hơn kèm đi lỏng khoảng 3 lần/ngày, không máu mũi, không mót rặn nên anh đã đến thăm khám tại Thiện Nhân Đà Nẵng.
Tại Thiện Nhân, bác sĩ cho anh C thực hiện chỉ định xét nghiệm máu và siêu âm bụng. Vì có hình ảnh nghi ngờ tổn thương trên siêu âm nên anh C được đề nghị chụp CLVT bụng có tiêm thuốc cản quang; kết quả chụp cho thấy dày thành đại tràng phải, manh tràng và hồi tràng đồng tâm, còn cấu trúc lớp, ngấm thuốc đồng nhất sau tiêm theo dõi tổn thương viêm, cần nội soi đại tràng để làm rõ chẩn đoán.
Kết quả chụp X-quang ngực trước khi nội soi phát hiện tổn thương dạng hang lao nên anh C được chụp CLVT ngực có tiêm thuốc cản quang để đánh giá tính chất của hang lao. Kết quả cuối cùng ghi nhận anh C bị lao phổi hang hóa ở thùy trên phổi phải với tổn thương đông đặc, kích thước 38 x 34 x 34 mm, thâm nhiễm dạng kính mờ xung quanh, kèm vài nốt kẽ ở ngoại vi dmax 6mm, có hang hoá và dịch hoại tử bên trong, ngấm thuốc không đồng nhất ở vùng đông đặc sau tiêm, hình ảnh nhánh phế quản đi vào vùng đông đặc này.
Sau đó, các bác sĩ, kỹ thuật viên khoa Nội soi tiêu hóa Thiện Nhân Đà Nẵng đã chuẩn bị cho anh C nội soi đại tràng đúng quy trình để phòng ngừa lây nhiễm vi khuẩn lao. Kết quả nội soi đại tràng chẩn đoán tại vùng manh tràng của anh C niêm mạc viêm xung huyết (sinh thiết 2 mẫu làm giải phẫu bệnh và 2 mẫu làm PCR lao), không thấy tổn thương u hay loét. Xét nghiệm tìm BK (vi khuẩn lao) ở mẫu bệnh phẩm sinh thiết vùng manh tràng cho kết quả dương tính, anh C được các bác sĩ tư vấn điều trị tại một bệnh viện chuyên khoa trên địa bàn.
♦ Theo BS. CKI Nguyễn Lê Hoàng Trâm – khoa Nội, Thiện Nhân Đà Nẵng, lao đường ruột là bệnh lý lao ngoài phổi do trực khuẩn lao 𝑀𝑦𝑐𝑜𝑏𝑎𝑐𝑡𝑒𝑟𝑖𝑢𝑚 𝑇𝑢𝑏𝑒𝑟𝑐𝑢𝑙𝑜𝑠𝑖𝑠 gây nhiễm khuẩn tại đường tiêu hoá. Triệu chứng thường gặp là đau quặn bụng, rối loạn đại tiện, tiêu chảy kéo dài, sụt cân… nên nên dễ gây nhầm lẫn với một số bệnh lý tiêu hóa khác. Lao ruột hay gặp với những bệnh nhân trong độ tuổi 30 – 55 tuổi, thường xuất hiện kèm theo với những tổn thương lao khác như lao phổi.
“Vì triệu chứng và hình ảnh của lao ruột không đặc hiệu, cần chẩn đoán phân biệt với một số bệnh khác như Lymphoma, bệnh Crohn’s, ung thư (carcinoma)… Do vậy, phải kết hợp các xét nghiệm, phương tiện hình ảnh khác nhau để có chẩn đoán chính xác và phương pháp điều trị hiệu quả” – BS Nguyễn Lê Hoàng Trâm nhấn mạnh.
⇒ Thiện Nhân Đà Nẵng sở hữu đầy đủ hệ thống trang thiết bị chẩn đoán hình ảnh hiện đại hàng đầu thế giới như:
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– Máy siêu âm tổng quát cao cấp ACUSON Sequoia – Hoa Kỳ
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Cùng đội ngũ y bác sĩ giàu kinh nghiệm, tay nghề giỏi, đội ngũ cố vấn chuyên môn là các chuyên gia cao cấp tại các bệnh viện lớn trên cả nước… giúp khách hàng tìm ra bệnh nhanh chóng, chính xác và tư vấn điều trị hiệu quả.
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♦ THIỆN NHÂN HOSPITAL – Tiên phong công nghệ
Địa chỉ:
♥ Thiện Nhân Đà Nẵng: 276-278-280 Đống Đa, Đà Nẵng
– Điện thoại: 02363.56.89.88 – 02363.82.84.89
♥ Thiện Nhân Quảng Ngãi: 168 Hùng Vương, TP. Quảng Ngãi
– Điện thoại: 02553.888.999
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