Esophageal tuberculosis mimicking submucosal tumor

Huang, Yao‐Kuang; Wu, Yi‐Cheng; Liu, Yun-Hen; Hui-ping, Liu

doi:10.1016/j.icvts.2003.11.016

Cited by 21 publications

(14 citation statements)

References 4 publications

(2 reference statements)

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“…Tuberculosis rarely causes dysphagia, which occurs due to esophageal ulcers, tracheoesophageal fistula or extrinsic compression by the mediastinal or neck lymph nodes [6,7]. Tuberculosis can involve the esophagus as a primary infection or as a secondary manifestation of disease reactivation [8].…”

Section: Discussionmentioning

confidence: 99%

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Dysphagia as a manifestation of esophageal tuberculosis: a report of two cases

et al. 2011

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IntroductionEsophageal involvement by Mycobacterium tuberculosis is rare and the diagnosis is frequently made by means of an esophageal biopsy during the evaluation of dysphagia. There are few cases reported in the literature.Case presentationWe present two cases of esophageal tuberculosis in 85- and 65-year-old male Caucasian patients with initial complaints of dysphagia and epigastric pain. Upper gastrointestinal endoscopy resulted in the diagnosis of esophageal tuberculosis following the biopsy of lesions of irregular mucosa in one case and a sessile polyp in the other. Pulmonary tuberculosis was detected in one patient. In one patient esophageal stricture developed as a complication. Antituberculous therapy was curative in both patients.ConclusionAlthough rare, esophageal tuberculosis has to be kept in mind in the differential diagnosis of dysphagia. Pulmonary involvement has important implications for contact screening.

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Section: Discussionmentioning

confidence: 99%

“…Primary esophageal tuberculosis is even rarer [5]. Esophagic involvement by tuberculosis usually affects the middle third of the esophagus at the carina level [6]. The most common symptoms are dysphagia or retrosternal pain, but odynophagia and weight loss may also be present.…”

Section: Introductionmentioning

confidence: 99%

Dysphagia as a manifestation of esophageal tuberculosis: a report of two cases

et al. 2011

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“…Usually occurs as a result of direct extension of infection from mediastinal nodes, rarely the infection my spread from the lungs or blood stream [1]. Esophageal involvement by tuberculosis usually occurs at the middle third of the esophagus at the level of carina [2], but in our patient the lesion was in the distal esophagus. Clinical, radiological and endoscopic features of esophageal tuberculosis are not well defined because of its rarity and also its close resemblance with other symptomatic esophageal disorders [1].…”

Section: Discussionmentioning

confidence: 59%

A case report on esophageal tuberculosis – A rare entity

Khanna

Kumar

Alexander

et al. 2017

International Journal of Surgery Case Reports

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“…There have been several reports of esophageal TB or esophageal infiltration in mediastinal TB lymphadenitis mimicking an esophageal submucosal tumor [8-10]. However, it is relatively rare for TB to present as an esophageal submucosal tumor upon the patient’s first visit.…”

Section: Discussionmentioning

confidence: 99%

Multidrug-Resistant Tuberculous Mediastinal Lymphadenitis, with an Esophagomediastinal Fistula, Mimicking an Esophageal Submucosal Tumor

Kim

Lee

et al. 2016

Clin Endosc

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Mediastinal tuberculous lymphadenitis rarely mimics esophageal submucosal tumor, particularly in the case of multidrug-resistant tuberculosis (MDR-TB). Herein, we report the case of a 61-year-old woman who visited a local hospital complaining of odynophagia. An initial esophagogastroduodenoscopy revealed an esophageal submucosal tumor, and subsequent chest computed tomography showed subcarinal lymphadenopathy with an esophagomediastinal fistula. The patient was then referred to Samsung Medical Center, and a second esophagogastroduodenoscopy showed deep central ulceration, as well as a suspicious fistula in the esophageal submucosal tumor-like lesion. A biopsy examination of the ulcerative lesion confirmed focal inflammation only. Next, an endobronchial, ultrasound-guided lymph node biopsy was performed, and TB was confirmed. The patient initially began a course of isoniazid, rifampicin, ethambutol, and pyrazinamide. However, after a drug sensitivity test, she was diagnosed with MDR-TB, and second-line anti-TB medications were prescribed. She recovered well subsequently.

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Esophageal tuberculosis mimicking submucosal tumor

Abstract: Esophageal tuberculosis (TB) is relatively rare. This study presents a case of primary esophageal TB mimicking submucosal tumor. The diagnostic methods and therapeutic options are reviewed. q

Cited by 21 publications

References 4 publications

Dysphagia as a manifestation of esophageal tuberculosis: a report of two cases

Dysphagia as a manifestation of esophageal tuberculosis: a report of two cases

A case report on esophageal tuberculosis – A rare entity

Multidrug-Resistant Tuberculous Mediastinal Lymphadenitis, with an Esophagomediastinal Fistula, Mimicking an Esophageal Submucosal Tumor

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