Duodenal Tuberculosis

Tishler, Jack M.

doi:10.1148/130.3.593

Cited by 21 publications

(8 citation statements)

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“…Balloon dilatation of stricture is successful and a good treatment option along with ATT. Laparotomy is usually necessary to diagnose the disease and for the relief of obstruction (15,16). Obstruction is commonly relieved either by resection or by by-pass procedures.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Tuberculosis – A Rare Case Report and Review of Literature

Dahiya

Garg²,

Kaman

et al. 2013

Polish Journal of Surgery

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Extrapulmonary tuberculosis is rare and often difficult to diagnose infection. We report a case of duodenal tuberculosis, who presented with upper gastrointestinal symptoms. There was evidence of obstruction in the third part of duodenum (D3) on oesophagogastro endoscopy, barium meal follow through and CT scan of abdomen. On exploration there was thickening of D3 and D4 causing luminal obstruction. Resection of stricturous segment with end-to-side duodenojejunostomy was done. Biopsy of the diseased segment was tubercular. Antitubercular treatment was given to the patient for 6 months and he is doing well on follow up (1 year after surgery). Duodenal tuberculosis being the rarest form of intestinal tuberculosis poses great difficulty in diagnosis. High index of suspicion supported by radiological investigation, exploratory laparotomy and histopathological examination of the tissue can only lead to a definitive diagnosis of this rare condition. Treatment is both surgical which involves resection or by-pass for an obstructive lesion and medical which includes antitubercular therapy.

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Section: Discussionmentioning

confidence: 99%

Duodenal Tuberculosis – A Rare Case Report and Review of Literature

Dahiya

Garg²,

Kaman

et al. 2013

Polish Journal of Surgery

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“…Fever and weight loss may occur, and some patients may present with upper gastrointestinal bleeding 11 . Active pulmonary tuberculosis can be seen in 10–50% of patients with duodenal tuberculosis 12 . Obstructive jaundice as a complication of primary duodenal tuberculosis is extremely rare, 4 although compression of the bile duct leading to obstructive jaundice has been seen with enlarged tuberculous lymph nodes at the porta hepatis and in the peripancreatic region 13 .…”

Section: Discussionmentioning

confidence: 99%

“…11 Active pulmonary tuberculosis can be seen in 10-50% of patients with duodenal tuberculosis. 12 Obstructive jaundice as a complication of primary duodenal tuberculosis is extremely rare, 4 although compression of the bile duct leading to obstructive jaundice has been seen with enlarged tuberculous lymph nodes at the porta hepatis and in the peripancreatic region. 13 In the present case, although enlarged periportal lymph nodes were present, we could differentiate them from the tuberculous abscess adjacent to the duodenum with the CT findings, because some reports indicate that tuberculous abscess revealed an irregular soft-tissue density mass, while enlarged lymph nodes revealed a multilocular appearance with rim enhancement.…”

Section: Discussionmentioning

confidence: 99%

Duodenal tuberculosis with a choledocho‐duodenal fistula

Miyamoto

Furuse

Maru

et al. 2001

J of Gastro and Hepatol

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A 22-year-old man visited our hospital (National Cancer Center Hospital East) complaining of fatigue and anorexia. A laboratory investigation demonstrated a biochemical 'picture' of obstructive jaundice. An abdominal CT showed a low density mass in the retropancreatic area with multiple enlarged periportal lymph nodes. Upper gastrointestinal endoscopy revealed active ulceration on the dorsal wall of the descending part of the duodenum, and histopathology of the biopsy specimen revealed an ulcer with reactive inflammatory cell infiltration; no tumor cells were detected. The possibility of neoplasm had been ruled out by the use of CT and angiography. The jaundice recovered spontaneously and the abdominal mass gradually decreased in size. Endoscopic retrograde pancreatography showed no evidence of pancreatic disease; however, endoscopic retrograde cholangiography showed a choledocho-duodenal fistula. This patient showed hypersensitivity against the tuberculin skin test and Mycobacterium tuberculosis was successfully detected in gastric juice by using a polymerase chain reaction method and culture. Biopsy samples obtained from the duodenal ulcer at the second upper gastrointestinal endoscopy showed chronic inflammation with an epithelioid granuloma, suggesting tuberculosis. We thus diagnosed this case as a duodenal tuberculosis with a choledocho-duodenal fistula. To the best of our knowledge, there has been no report available of duodenal tuberculosis being the cause of a choledocho-duodenal fistula.

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“…11 Balloon dilatation of stricture is successful and a good treatment option along with antitubercular treatment. 12,13 Regarding duration of antitubercular treatment, Puri AS et al showed in a study that usual duration is 6 months and they extend the duration arbitrarily in patients whose resumption of normal diet was delayed. 2 Laparotomy is usually necessary to diagnose the disease and for the relief of obstruction.…”

Section: Case Reportmentioning

confidence: 99%

Primary duodenal tuberculosis - A rare case report

Sah

Gautam²,

Sharma³

et al. 2018

J Pathol Nep

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Gastroduodenal tuberculosis is uncommon even in parts of world where tuberculosis is endemic and accounts for 2.3 % of abdominal tuberculosis. We present here a case of duodenal tuberculosis who presented with vomiting, pain abdomen and weight loss. Duodenoscopy revealed mucosal ulceration and nodularity with marked enlarged and erythematous surrounding folds. Histopathology of duodenum showed features of tuberculosis.

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Duodenal Tuberculosis

Cited by 21 publications

References 0 publications

Duodenal Tuberculosis – A Rare Case Report and Review of Literature

Duodenal Tuberculosis – A Rare Case Report and Review of Literature

Duodenal tuberculosis with a choledocho‐duodenal fistula

Primary duodenal tuberculosis - A rare case report

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