1999
DOI: 10.1016/s0002-9270(98)00696-0
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Both massive upper and lower gastrointestinal hemorrhage secondary to tuberculosis

Abstract: We report a case of gastrointestinal tuberculosis, presenting with both massive upper and lower gastrointestinal bleeding that required two emergency operations. Massive bleeding is rare in gastrointestinal tuberculosis because of associated obliterative endarteritis. Tuberculosis should be considered in the differential diagnosis of massive gastrointestinal bleeding in the appropriate clinical setting even in an immunocompetent patient.

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Cited by 2 publications
(3 citation statements)
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“…2 Endoscopic brush cytology and biopsy did not provide any evidence of the tuberculous nature of the perforation. Although the submucosal location of the lesion has been cited as a reason for failure of endoscopic biopsies, 8,9 a correct diagnosis has been made in some cases. 1 The recent success of gastric brush cytology in diagnosing GT, by demonstrating granulomas, epithelioid cells, or acid-fast bacilli, was reported in 7 of 120 patients with gastric symptoms.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…2 Endoscopic brush cytology and biopsy did not provide any evidence of the tuberculous nature of the perforation. Although the submucosal location of the lesion has been cited as a reason for failure of endoscopic biopsies, 8,9 a correct diagnosis has been made in some cases. 1 The recent success of gastric brush cytology in diagnosing GT, by demonstrating granulomas, epithelioid cells, or acid-fast bacilli, was reported in 7 of 120 patients with gastric symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…1,8,13 Patients presenting a diagnostic dilemma or with complications such as a pyloric mass, stenosis, bleeding, or perforation require surgery. Perioperative biopsy, 3 underrunning a bleeder in the ulcer base, 14 truncal vagotomy with gastrojejunostomy, 5,6 and partial or subtotal gastrecomy 5,9 can be done, depending on the operative findings. Resection of the distal part of the stomach, including the ulcer, is considered better for a perforated gastric ulcer than suturing alone.…”
Section: Discussionmentioning
confidence: 99%
“…Hematemesis and lower gastro-intestinal bleeding caused by tuberculosis was recognized in the 19 th century. It is currently recognized and has been recently reported [29][30][31]. The most we can say is that her course was compatible with tuberculosis.…”
Section: Introductionmentioning
confidence: 69%