作者报道了4例结肠组织胞浆菌病,均为HIV阳性的AIDS病人,复习了内窥镜和影象学表现。4例均为男性,年龄35～52岁。1例是根据感染史和以前诊断的播散性组织胞浆菌病而诊断为AIDS,1例在入院时有口腔和食管念珠菌病,2例无感染或肿瘤。均作钡灌肠检查,2例在口服和静脉注射造影剂后行整个腹部和盆腔CT检查、准直器直径为10mm。3例根据结肠镜活检结果诊断为结肠组织胞浆菌病,1例初次结肠镜活检结果无特异性,通过肠段切除而明确诊断。3例药物治疗后临 The authors reported 4 cases of histoplasmosis, all HIV-positive AIDS patients, reviewed endoscopy and imaging findings. 4 cases were male, aged 35 to 52 years old. One patient was diagnosed with AIDS based on the history of infection and previously diagnosed disseminated histoplasmosis. One patient had oral and esophageal candidiasis on admission and two had no infection or tumor. Both barium enema examination, 2 cases of oral and intravenous contrast agent after the entire abdomen and pelvic CT examination, collimator diameter of 10mm. Three cases were diagnosed as colon histoplasmosis according to the results of colon biopsy. One case had no specific result of primary colon biopsy, and definite diagnosis was made through resection of bowel segment. 3 cases after drug treatment