Antro-Duodenal Tuberculosis
Causing Gastric Outlet Obstruction - a Rare Presentation of a Protean
Disease
Liana Gheorghe1, Ion Bancila1, Cristian Gheorghe1, Vlad Herlea2, Catalin
Vasilescu3, Gabriela Aposteanu1
2) Center of Gastroenterology and Hepatology.
2) Department of Pathology. 3) Department of Surgery and Hepatic
Transplantation, Fundeni Clinical Institute, Bucharest
Abstract
Gastroduodenal tuberculosis
is a rare location of abdominal tuberculosis. It usually occurs
secondary to pulmonary tuberculosis. We report a case of a 63-year-old
woman admitted to the referal center for symptoms of upper gastrointestinal
obstruction caused by ulcerohypertrophic antroduodenal tuberculosis.
The lesion was misdiagnosed as malignancy at endoscopy. Even at
surgery, the lesion was considered gastric cancer and imposed an
oncologic resection. The diagnosis was established in the presence
of giant-cell granulomas with caseating necrosis in the surgical
resected specimens. In our case, the rare gastroduodenal location
of abdominal tuberculosis occurred as primary tuberculosis, in the
absence of other identifiable locations.
Key words
Gastroduodenal tuberculosis - gastrointestinal obstruc-tion
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