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Case report
DOI: 10.5958/2319-5886.2015.00180.0
Open Access
ARTICLE INFO
th
ABSTRACT
Abdominal Tuberculosis (TB) most commonly affects ileo-caecal region.
Isolated stomach involvement by TB, without pulmonary infection is rare.
Clinical presentation of Stomach TB may be non-specific, radiological
findings non-contributory and superficial endoscopic biopsies may not be
able to settle the diagnosis. Many cases are diagnosed only after
histopathological examination of surgical specimens. High degree of
suspicion is needed for early diagnosis of gastric tuberculosis, if
unnecessary surgical interventions are to be avoided. A young patient who
was being treated as a case of chronic peptic ulcer for one year was
referred for treatment of gastric outlet obstruction. Histopathological
examination of gastrectomy specimen of the patient showed multiple
caseating granulomas characteristic of tuberculosis and presence of acidfast bacilli on Fite-Faraco staining, with no evidence of tuberculosis at
pulmonary or other body sites. This case of isolated gastric TB is reported
for its rarity.
tuberculosis,
INTRODUCTION
Extrapulmonary tuberculosis (TB) accounts for 10-15%
of all cases of TB and the incidence reaches higher in
[1]
patients with AIDS. Gastro-intestinal tract (GIT) is the
sixth most frequent extra pulmonary site involved by
tuberculosis (TB) and ileo-caecal region is the most
[2,3]
common site of involvement in GIT TB.
Gastroduodenal or isolated gastric TB is uncommon even in
parts of the world where intestinal TB is endemic
including India and stomach and duodenal TB comprises
[4,5]
1% each of abdominal TB.
The presenting symptoms
of gastric TB are non-specific and misleading and often
[6]
mimic peptic ulcer disease or malignancy.
Primary
isolated gastric TB in absence of pulmonary TB in
[7]
immune competent host is rare.
This rare occurrence
of isolated gastric TB presenting as gastric outlet
obstruction in a patient without evidence of pulmonary
TB or immunodeficient state is presented.
CASE REPORT
A 32 years old female was referred from a rural hospital
for abdominal distension and constipation since five
days. She gave history of abdominal pain since one year
associated with intermittent episodes of vomiting and low
grade fever off and on. Pain was localized to epigastrium
and umbilical region and was mild, intermittent in
character with no relation to food. The patient was being
treated as a case of chronic peptic ulcer without much
relief and has noticed significant loss of weight during
last six months. There was no history of cough,
hematemesis, diarrhea or malena and no past history of
Poflee et al.,
896
Int J Med Res Health Sci., 2015;4(4):896-898
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Int J Med Res Health Sci., 2015;4(4):896-898
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