梅毒性直肠炎并肛周尖锐湿疣1例

One Case of Syphilis Rectitis Accompany with Perianal Condyloma Acuminate

患者男,43岁。便血伴里急后重半月余。距肛缘约3cm处有1个肿块,表面粗糙不平,质硬,触痛(±),指套血染。皮肤科情况:肛周见多枚菜花状赘生物,无不适。肠镜:距肛门3cm处见溃疡病灶,表面高低不平,有污苔,质硬,疑为直肠癌,考虑为慢性炎细胞。盆腔MRI考虑恶性肿瘤,伴周围淋巴结转移。组织病理示直肠黏膜急、慢性炎。血清TRUST 1∶4(+),TPPA(+)。诊断:梅毒性直肠炎;肛周尖锐湿疣。

A 43-year-old male presented with hematozhezia and tenesmus for half a month. There was one lesion 3era far from the anal margin and the surface was rough, qualitative hard, tenderness （ ＋ ） , finger blood. On dermatology examination： there were cauliflower-like neoplasm around the anus without symptoms. Colonoscopy examination： there was one ulcer lesion 3cm far from the anal, surface uneven, dirty fur, texture hard, which was suspected of rectal cancer. The pathological combined with immunohistochemistry result was considered as chronic inflammatory cells. Pelvic MRI examination was considered as malignant tumor with lymph node metastasis. Pathological examination was regarded as rectummucous membrane urgent and chronic inflammation. The serum TRUST was 1 ： 4 （ ＋ ） and TPPA was positive. This ease was diagnosed as＂ syphilis rectitis and perianal condyloma acuminate＂.